Organization Active NPI

M Susan Haskins PS Inc

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1801938204
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
020703LH00004072 Issued in WA
Legal business name
M SUSAN HASKINS PS INC
Practice address
1210 10TH St
#203
Bellingham, WA 98225
Phone
(360) 676-1513
Fax
(360) 647-1043
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. M Susan Haskins, MA LMHC
Title
President
Phone
(360) 676-1513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 020703LH00004072 WA Primary

Addresses

Primary practice location

1210 10TH St
#203
Bellingham, WA 98225

Mailing address

1210 10TH St
#203
Bellingham, WA 98225
Phone (360) 676-1513

Other identifiers 3

IdentifierTypeStateIssuer
0005557755OtherAETNA
37687OtherRIDER # REGENCE BCBS
8917831OtherWACRIME VICTIMS COMP

National Provider Directory

National Provider Directory

Locations

1210 10th St
Ste 203
Bellingham, WA 98225
Phone (360) 676-1513

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801938204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 10TH ST",
            "address_2": "#203",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98225",
            "telephone_number": "360-676-1513",
            "fax_number": "360-647-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 10TH ST",
            "address_2": "#203",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98225",
            "telephone_number": "360-676-1513",
            "fax_number": "360-647-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M SUSAN HASKINS PS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HASKINS",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-676-1513",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "020703LH00004072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005557755",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RIDER # REGENCE BCBS",
            "identifier": "37687",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS COMP",
            "identifier": "8917831",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.