Lindsay Haitz, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2704 Boulder Dr Ste B
Urbana, IL 61802-7832

Phone

(217) 607-1678

NPI assigned

Nov 20, 2020

Last updated

Nov 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Blueprint

  • Mental Health Counselor
  • Urbana, IL
  • NPI 1265736110
  NPD (past)

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1356944300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 BOULDER DR STE B",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618027832",
            "telephone_number": "217-607-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 BOULDER DR STE B",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618027832",
            "telephone_number": "217-607-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAITZ",
        "first_name": "LINDSAY",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Marie Hadler, APRN
• Hafez Daryush Haerian, MD
• Ali Haider
• Baqer A Haider, M.D.
• Linda Haile, NP
• Hall Melchi LLC
• Amy M Hall, APN
• Emma Hall, DO
• Michele Renee Hall, MS CCC-SLP
• Angie Hallam, CCC-SLP

• Mental Health Counselor in Urbana, IL
• Providers in Urbana, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.