Individual provider Active NPI

Carol Sherman Haid, MA, LCPC, BCPC

  • Professional Counselor
  • Sheboygan, WI
National Provider Identifier
1376582312
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3472-125 Issued in WI
Practice address
833 Pennsylvania Ave
Suite 103
Sheboygan, WI 53081-4452
Phone
(920) 482-1250
Fax
(920) 693-2003
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3472-125 WI Primary

Addresses

Primary practice location

833 Pennsylvania Ave
Suite 103
Sheboygan, WI 53081-4452

Mailing address

833 Pennsylvania Ave
Suite 103
Sheboygan, WI 53081-4452
Phone (920) 482-1250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3472-125WIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1376582312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 PENNSYLVANIA AVE",
            "address_2": "SUITE 103",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814452",
            "telephone_number": "920-482-1250",
            "fax_number": "920-693-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 PENNSYLVANIA AVE",
            "address_2": "SUITE 103",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814452",
            "telephone_number": "920-482-1250",
            "fax_number": "920-693-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN HAID",
        "first_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "MA, LCPC, BCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3472-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.