Heather Lee Haines, MA, LPC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3456-125 Issued in WI

Practice address

420 Hwy 54 West
Black River Falls, WI 54615

Phone

(715) 284-4301

Fax

(715) 284-7713

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heather Lee Haines Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• County of Jackson

  dba Jackson County DHHS Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Black River Falls, WI
  • NPI 1801114632
  NPD (past)
• County of Jackson

  • Public Health or Welfare Agency
  • Black River Falls, WI
  • NPI 1952445025
  NPD (past)
• Jackson County Public Health

  • Public Health or Welfare Agency
  • Black River Falls, WI
  • NPI 1720311475
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1518985365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "address_2": "420 HWY 54 WEST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "54615",
            "telephone_number": "715-284-4301",
            "fax_number": "715-284-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 HWY 54 WEST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "54615",
            "telephone_number": "715-284-4301",
            "fax_number": "715-284-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "HEATHER",
        "middle_name": "LEE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3456-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40947400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HAINES",
            "middle_name": "LEE",
            "credential": "MA, LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kayla Mae Goettl
• Donald Robert Greengrass Sr., SAC
• Gundersen Clinic, LTD. (Gundersen Lutheran Eye Clinic - Black River Falls)
• Gundersen Lutheran Medical Center Inc
• Barbara Jeanne Hagenbrock, RPH
• Cheryl Lynn Hanson-Liu, MS
• Amber Jo Hanson
• Jennifer Christine Hanson, DNP
• Mark Allen Hanson, O.D.
• Jessica Harm

• Clinical Social Worker in Black River Falls, WI
• Providers in Black River Falls, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.