Individual provider Active NPI

Cathleen Anne Hauber

  • Mental Health Counselor
  • Fairport, NY
National Provider Identifier
1548984412
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1157554 Issued in NY
Practice address
6 Furman HTS
Fairport, NY 14450-9190
Phone
(716) 310-4440
NPI assigned
Oct 3, 2022
Last updated
Oct 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1157554 NY Primary

Addresses

Primary practice location

6 Furman HTS
Fairport, NY 14450-9190

Mailing address

6 Furman HTS
Fairport, NY 14450-9190
Phone (716) 310-4440

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Talkspace Direct

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

State licenses

LicenseStateTypeSpecialty
1157554NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1548984412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FURMAN HTS",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144509190",
            "telephone_number": "716-310-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FURMAN HTS",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144509190",
            "telephone_number": "716-310-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUBER",
        "first_name": "CATHLEEN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "1157554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Talkspace",
            "affiliation": "N",
            "endpointDescription": "Talkspace platform",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6 Furman Hts",
            "city": "Fairport",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144509190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.