Diana Haddox

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

322 S Birch St
McCleary, WA 98557-9522

Phone

(360) 208-9625

NPI assigned

May 26, 2021

Last updated

May 26, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1770158115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 S BIRCH ST",
            "city": "MCCLEARY",
            "state": "WA",
            "postal_code": "985579522",
            "telephone_number": "360-208-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 S BIRCH ST",
            "city": "MCCLEARY",
            "state": "WA",
            "postal_code": "985579522",
            "telephone_number": "360-208-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDOX",
        "first_name": "DIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dhaddox@telecarecorp.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "322 S Birch St",
            "city": "McCleary",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985579522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark Henry Genich, M.D.
• Grays Harbor County Public Hospital District No. 1 (dba-McCleary Healthcare Clinic)
• Raymond Greedy
• Karen Grosso, RN
• Rachal Gustafson
• Angelique Haskell
• Christina Hazen
• Hearthstone Dermatology Nonprofit Professional Services
• Stephanie Helen Higgins, AAC
• Jenny Holmes, COUNSELOR

• Mental Health Counselor in McCleary, WA
• Providers in McCleary, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.