Lydia Haurez, LPC-MHSP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5834 Issued in TN

Practice address

1201 N Wilcox Dr Ste C
Kingsport, TN 37660-4986

Phone

(423) 225-3757

NPI assigned

Mar 17, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Rainbow Connection Therapy, LLC

  • Mental Health Counselor
  • Kingsport, TN
  • NPI 1962284067
  NPD Authorized official

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1811645930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 MIAMI DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376017542",
            "telephone_number": "765-413-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N WILCOX DR STE C",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604986",
            "telephone_number": "423-225-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUREZ",
        "first_name": "LYDIA",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "5834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Nottingham Harville, DMD
• Jeffrey L Hatcher, CRNA
• Haun Chiropractic
• Janie Marie Haun, D.C.
• Michael Haun, DC
• Jordan Taylor Havyar, PA
• Kirsten Hawbaker
• James R Hawkins, MSW CMSW
• Carol Sue Haworth, APN
• Heather-Marie Douw Hawthorne, BS

• Mental Health Counselor in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.