Haley Atencio, BA, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

305463 Issued in MN

Practice address

604 5TH St SW
Rochester, MN 55902-3256

Phone

(507) 225-1800

NPI assigned

Jun 10, 2021

Last updated

Jun 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1295302875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 5TH ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559023256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 5TH ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559023256",
            "telephone_number": "507-225-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATENCIO",
        "first_name": "HALEY",
        "credential": "BA, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Associates in Psychiatry and Psychology
• Amanda N Asuzu, RD
• Ivor Asztalos, MD
• Fawn Wen Atchison, MD, PHD
• Erick Nyambariga Ateka, CNP
• Karyna Ajay Atha
• Jessica Atieh, MD
• Mazen A Atiq, MBBS
• Alva W Atkinson, MD
• John L. D. Atkinson, M.D.

• Addiction (Substance Use Disorder) Counselor in Rochester, MN
• Providers in Rochester, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.