Active NPI
Sharon Merel Haase, MFT
- Mental Health Counselor
- Oakland, CA
National Provider Identifier
1376614560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFC 36106
- Practice address
- 2100 Lakeshore Ave
Suite B
Oakland, CA 94606-1187 - Phone
- (510) 420-1258
- NPI assigned
- Nov 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFC 36106 | CA | Primary |
Addresses
Primary practice location
2100 Lakeshore Ave
Suite B
Oakland, CA 94606-1187
Mailing address
2100 Lakeshore Ave
Suite B
Oakland, CA 94606-1187
Phone (510) 420-1258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 36106 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376614560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 LAKESHORE AVE",
"address_2": "SUITE B",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946061187",
"telephone_number": "510-420-1258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 LAKESHORE AVE",
"address_2": "SUITE B",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946061187",
"telephone_number": "510-420-1258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAASE",
"first_name": "SHARON",
"middle_name": "MEREL",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFC 36106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.