Individual provider Active NPI

Victoria J Haag, LCMFT

  • Marriage & Family Therapist
  • Holton, KS
National Provider Identifier
1265426472
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
102 Issued in KS
Practice address
104 W 5TH St Ste 8
Holton, KS 66436-1788
Phone
(785) 851-4343
Fax
(316) 768-4145
NPI assigned
Sep 1, 2005
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 102 KS Primary

Addresses

Primary practice location

104 W 5TH St Ste 8
Holton, KS 66436-1788

Mailing address

518 Montana Ave
Holton, KS 66436-1142
Phone (785) 851-4343

Other identifiers 10

IdentifierTypeStateIssuer
0204835OtherKSCOMPSYCH
200429060CMedicaidKS
024436OtherKSVMC BEHAVIORAL HEALTH
14146673OtherKSWAUSAU
220944OtherKSVALUE OPTIONS
373248OtherKSBLUE CROSS BLUE SHIELD
6293357OtherKSUNITED BEHAVIORAL HEALTH
188092OtherKSMANAGED HEALTH NETWORK
2022246OtherKSCIGNA BEHAVIORAL HEALTH
481191048001OtherKSTRICARE WEST REGION

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address victoria@kansascompasscounseling.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 8, 2024 through Apr 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Law

Practice roles

OrganizationSpecialtyStatusNew patients
Firststep Counseling, Inc. Marriage & Family Therapist PastSince Aug 4, 2005 Accepting new patients
Women's Coaching & Counseling Marriage & Family Therapist PastSince Jan 1, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: victoria@kansascompasscounseling.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1265426472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 MONTANA AVE",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "664361142",
            "telephone_number": "785-851-4343",
            "fax_number": "316-768-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W 5TH ST STE 8",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "664361788",
            "telephone_number": "785-851-4343",
            "fax_number": "316-768-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAG",
        "first_name": "VICTORIA",
        "middle_name": "J",
        "credential": "LCMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "0204835",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200429060C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VMC BEHAVIORAL HEALTH",
            "identifier": "024436",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAUSAU",
            "identifier": "14146673",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "220944",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "373248",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6293357",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "188092",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "2022246",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WEST REGION",
            "identifier": "481191048001",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "victoria@kansascompasscounseling.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "104 W 5th St Ste 8",
            "city": "Holton",
            "state": "KS",
            "country_code": "US",
            "postal_code": "664361788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Holton, KS

Sources for this page

Verify at the official NPI Registry.