Timberline Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TIMBERLINE COUNSELING LLC

Practice address

1394 Kubli Rd
Grants Pass, OR 97527-8632

Phone

(541) 842-0907

NPI assigned

Aug 12, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Karl A Haeckler, LCSW, DBH, BCDNPI 1972126159

Title

Mental Health Therapist

Phone

(541) 842-0907

Specialties & licenses 1

Addresses

Other names 1

• Timberline Counseling Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karl Abraham Haeckler, DBH, LCSW

  • Clinical Social Worker
  • Grants Pass, OR
  • NPI 1972126159
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1235867680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1394 KUBLI RD",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975278632",
            "telephone_number": "541-842-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1394 KUBLI RD",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975278632",
            "telephone_number": "541-842-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLINE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "HAECKLER",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "541-842-0907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW, DBH, BCD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timberline Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Daniel Tibbits
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• Daniel Tierney
• Andrew Mark Tijerina
• Amber Timme
• Timothy G Dwyer, DDS, PC
• Ralph Tinsley, PSS
• William Tippin
• Crystal M Tipton

• Mental Health Counselor in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.