Active NPI
Marilyn G Haight, PH.D., LPC, NCC
- Professional Counselor
- Iowa City, IA
National Provider Identifier
1679738314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 19070
- Practice address
- 173 Columbia Dr
Iowa City, IA 52245-3701 - Phone
- (319) 341-3512
- NPI assigned
- Jul 22, 2008
- Last updated
- Jul 22, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 19070 | TX | Primary |
Addresses
Primary practice location
173 Columbia Dr
Iowa City, IA 52245-3701
Mailing address
173 Columbia Dr
Iowa City, IA 52245-3701
Phone (319) 341-3512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170616001 | Medicaid | TX |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19070 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216684800000",
"number": "1679738314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 COLUMBIA DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522453701",
"telephone_number": "319-341-3512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 COLUMBIA DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522453701",
"telephone_number": "319-341-3512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIGHT",
"first_name": "MARILYN",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "PH.D., LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-22",
"last_updated": "2008-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "19070",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170616001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.