Active NPI
Susan Mawdesley Haines, MS, CDS III, NCGC II
- Addiction (Substance Use Disorder) Counselor
- Portland, OR
National Provider Identifier
1679610018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 131 NE 102ND Ave
Portland, OR 97220-4167 - Phone
- (503) 253-6754
- Fax
- (503) 253-8020
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
131 NE 102ND Ave
Portland, OR 97220-4167
Mailing address
1507 Cedar St
Lake Oswego, OR 97034-4713
Phone (503) 636-5039
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascadia Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Portland, OR
- NPI 1144722935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1679610018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 CEDAR ST",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970344713",
"telephone_number": "503-636-5039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 NE 102ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972204167",
"telephone_number": "503-253-6754",
"fax_number": "503-253-8020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAINES",
"first_name": "SUSAN",
"middle_name": "MAWDESLEY",
"name_prefix": "Ms.",
"credential": "MS, CDS III, NCGC II",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.