Active NPI
Melissa Anne Haas, LAPC
- Professional Counselor
- Woodstock, GA
National Provider Identifier
1700384179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC005546
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| APC005546 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Adult Mental Health Clinic/Center
- Woodstock, GA
- NPI 1962976696
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.