Lindsey Deann Hathaway, CADCI-R, CRM

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

T-23-2267 Issued in OR

Practice address

1655 SW Highland Ave Ste 3
Redmond, OR 97756-2558

Phone

(541) 923-2654

NPI assigned

Jul 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1699408914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 SW 17TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977563213",
            "telephone_number": "541-801-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 SW HIGHLAND AVE STE 3",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562558",
            "telephone_number": "541-923-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "LINDSEY",
        "middle_name": "DEANN",
        "name_prefix": "Mrs.",
        "credential": "CADCI-R, CRM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "22-CRM-1123",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-23-2267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Hartzell, LMT
• Emily Harvey, M.D.
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• Wendy A. Hatcher, PSY.D.
• Judy M. Hatfield, L.P.C.
• Eric Brian Hayden, DC
• Margaret S Hayner, ARNP
• Shelli Lynn Haynes, LCSW
• Hearing AIDS by Tricia Leagjeld LLC
• Hailey Heath, PT

• Addiction (Substance Use Disorder) Counselor in Redmond, OR
• Providers in Redmond, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.