Individual provider Active NPI

Melissa Anne Haas, LAPC

  • Professional Counselor
  • Woodstock, GA
National Provider Identifier
1700384179
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
APC005546 Issued in GA
Practice address
3380 Trickum Rd BLDG 700
Woodstock, GA 30188-3680
Phone
(770) 591-4770
NPI assigned
Jan 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X APC005546 GA Primary

Addresses

Primary practice location

3380 Trickum Rd BLDG 700
Woodstock, GA 30188-3680

Mailing address

237 Mountain View Dr
Woodstock, GA 30188-3508
Phone (770) 633-0077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APC005546GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
First Baptist Church of Woodstock, Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1700384179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 MOUNTAIN VIEW DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883508",
            "telephone_number": "770-633-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 TRICKUM RD BLDG 700",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883680",
            "telephone_number": "770-591-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "LAPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC005546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.