Individual provider Active NPI

Cori Laine Haag, LPC- SUPERVISEE

  • Counselor
  • Pierre, SD
National Provider Identifier
1396472080
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
20816 Issued in SD
Practice address
420 S Henry St
Pierre, SD 57501-4515
Phone
(605) 494-1500
NPI assigned
Aug 3, 2022
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 20816 SD Primary

Addresses

Primary practice location

420 S Henry St
Pierre, SD 57501-4515

Mailing address

420 S Henry St
Pierre, SD 57501-4515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250102002393 SD Practitioner - Mental Health Counselor 1951838994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rising Hope Counseling, LLCGroup PAC ID 3274958640, 47 clinicians

Practice addresses (Care Compare)

420 S Henry St
Pierre, SD 57501-4515
Phone (605) 494-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20816SDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rising Hope Counseling, LLC CurrentSince Nov 14, 2024 Accepting new patients
Rising Hope Together, Inc CurrentSince Aug 7, 2022 Accepting new patients

Locations

317 N Heritage Ave
Tea, SD 57064

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "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

Verify at the official NPI Registry.