Active NPI
Ingeborg Haug, D.MIN.
- Marriage & Family Therapist
- Fairfield, CT
National Provider Identifier
1689970204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 000035
- Practice address
- 144 Vesper St
Fairfield, CT 06825-4335 - Phone
- (203) 368-8581
- Fax
- (203) 368-0066
- NPI assigned
- Jan 29, 2011
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 000035 | CT | Primary |
Addresses
Primary practice location
144 Vesper St
Fairfield, CT 06825-4335
Mailing address
144 Vesper St
Fairfield, CT 06825-4335
Phone (203) 368-8581
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000035 | CT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296259200000",
"number": "1689970204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 VESPER ST",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068254335",
"telephone_number": "203-368-8581",
"fax_number": "203-368-0066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 VESPER ST",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068254335",
"telephone_number": "203-368-8581",
"fax_number": "203-368-0066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUG",
"first_name": "INGEBORG",
"name_prefix": "Dr.",
"credential": "D.MIN.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-29",
"last_updated": "2011-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "000035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.