Katherine Bolding Haaga, MS, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4102 Issued in TN

Practice address

6363 Poplar Ave Ste 404
Memphis, TN 38119-4831

Phone

(901) 328-8885

NPI assigned

Dec 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1467099473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 WELLSVILLE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381175910",
            "telephone_number": "901-497-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 POPLAR AVE STE 404",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194831",
            "telephone_number": "901-328-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAGA",
        "first_name": "KATHERINE",
        "middle_name": "BOLDING",
        "name_prefix": "Mrs.",
        "credential": "MS, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katherinehaaga@kardiacollective.com",
            "affiliation": "N",
            "endpointDescription": "buisness email account",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "6363 Poplar Ave Ste 404",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381194831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.