Susan Dorine Hacking

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1506 Market St
Redding, CA 96001-1023

Phone

(530) 245-6411

NPI assigned

Oct 29, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• County of Shasta

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Redding, CA
  • NPI 1124355896
  NPD (past)

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1679809404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 MARKET ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011023",
            "telephone_number": "530-245-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 MARKET ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011023",
            "telephone_number": "530-245-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKING",
        "first_name": "SUSAN",
        "middle_name": "DORINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAS  II",
            "identifier": "03-037693",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guy Corkill, M.D. Inc.
• Jonathan M Guy, MSPAS, PAC
• Richard J Ha, M.D.
• Kabral Mebrahtom Habtemariam
• Gary Lee Hackett, RPH
• Khalil Haddad
• Patricia Hadley, M.D.
• Melinda Jean Hadlock, IMFT
• Isabelle Haeckel
• Cassandra Ashley Hagemeister

• Addiction (Substance Use Disorder) Counselor in Redding, CA
• Providers in Redding, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.