Cori Laine Haag, LPC- SUPERVISEE
Individual provider Active NPI Counselor · Pierre, SD
NPI 1396472080 · NPPES record last updated Aug 11, 2022
Key facts
- NPI
- 1396472080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 20816 (SD)
- Practice address
- 420 S Henry St
Pierre, SD 57501-4515 - Phone
- (605) 494-1500
- NPI assigned
- Aug 3, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rising Hope Counseling, LLC
Practice addresses (Care Compare)
420 S Henry St
Pierre, SD 57501-4515
Phone (605) 494-1500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250102002393 | SD | Practitioner - Mental Health Counselor | 1951838994 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20816 | SD | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rising Hope Together, Inc | Current |
Accepting new patients | |
| Rising Hope Counseling, LLC | Current |
Accepting new patients |
Locations
317 N Heritage Ave
Tea, SD 57064
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 20816 | SD | Yes |
Addresses
Primary practice location
420 S Henry St
Pierre, SD 57501-4515
Mailing address
420 S Henry St
Pierre, SD 57501-4515
NPI Registry JSON
{
"created_epoch": "1659484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1396472080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 S HENRY ST",
"city": "PIERRE",
"state": "SD",
"postal_code": "575014515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 S HENRY ST",
"city": "PIERRE",
"state": "SD",
"postal_code": "575014515",
"telephone_number": "605-494-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAG",
"first_name": "CORI",
"middle_name": "LAINE",
"name_prefix": "Mrs.",
"credential": "LPC- SUPERVISEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-03",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SD",
"license": "20816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pierre, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.