Redietu Akalu Haile

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP13107 Issued in MD

Practice address

65 Old Solomons Island Rd Ste 104
Annapolis, MD 21401-3842

Phone

(443) 994-6625

NPI assigned

Oct 31, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Maryland Family Resource, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Landover, MD
  • NPI 1326189036
  NPD (past)

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1679280598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 OLD SOLOMONS ISLAND RD STE 104",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013842",
            "telephone_number": "443-994-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 OLD SOLOMONS ISLAND RD STE 104",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013842",
            "telephone_number": "443-994-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILE",
        "first_name": "REDIETU",
        "middle_name": "AKALU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP13107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Hahn, MD
• Gina Decaro Hahn, DPT
• Haile Physical Therapy LLC
• Anne Haile, P.T.
• Haregnesh Haile, PHD
• Sharazad Haimanchandra, LMSW
• Hassan Haji, MD
• Heide Anne Halik, LCSW-C
• Allison Emily Hall, PA
• Brandon Franklin Hall

• Mental Health Counselor in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.