Active NPI
Michelle Haswood, LMHC, LMHC
- Mental Health Counselor
- Grants, NM
National Provider Identifier
1679103188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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.