Individual provider Active NPI

Michelle Haswood, LMHC, LMHC

  • Mental Health Counselor
  • Grants, NM
National Provider Identifier
1679103188
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1040 Sakelares Blvd
Grants, NM 87020-3819
Phone
(505) 290-3206
NPI assigned
Jan 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1040 Sakelares Blvd
Grants, NM 87020-3819

Mailing address

PO Box 1472
Crownpoint, NM 87313-1472
Phone (505) 290-3206

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL michelle.haswood@pmsnm.org Direct
CONNECT URL michelle.haswood@pmsnm.org 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

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1679103188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1472",
            "city": "CROWNPOINT",
            "state": "NM",
            "postal_code": "873131472",
            "telephone_number": "505-290-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 SAKELARES BLVD",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870203819",
            "telephone_number": "505-290-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASWOOD, LMHC",
        "first_name": "MICHELLE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "michelle.haswood@pmsnm.org",
            "affiliation": "N",
            "endpointDescription": "PMS Grants Family Counseling",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1040 Sakelares Blvd",
            "city": "Grants",
            "state": "NM",
            "country_code": "US",
            "postal_code": "870203819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "michelle.haswood@pmsnm.org",
            "affiliation": "N",
            "endpointDescription": "PMS Grants Family Counseling",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1040 Sakelares Blvd",
            "city": "Grants",
            "state": "NM",
            "country_code": "US",
            "postal_code": "870203819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grants, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.