Individual provider Active NPI

Kimberly B Haenle, M.S., CAC DIPLOMATE

  • Counselor
  • Yardley, PA
National Provider Identifier
1407025828
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
203 Floral Vale Blvd
Suite 203
Yardley, PA 19067-5524
Phone
(215) 968-7600
Fax
(215) 968-7609
NPI assigned
Feb 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

203 Floral Vale Blvd
Suite 203
Yardley, PA 19067-5524

Mailing address

203 Floral Vale Blvd
Suite 203
Yardley, PA 19067-5524
Phone (215) 968-7600

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)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Springs Behavioral Health Inc Current Accepting new patients
Live Well Services, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1407025828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 FLORAL VALE BLVD",
            "address_2": "SUITE 203",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675524",
            "telephone_number": "215-968-7600",
            "fax_number": "215-968-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 FLORAL VALE BLVD",
            "address_2": "SUITE 203",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675524",
            "telephone_number": "215-968-7600",
            "fax_number": "215-968-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAENLE",
        "first_name": "KIMBERLY",
        "middle_name": "B",
        "credential": "M.S., CAC DIPLOMATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.