Individual provider Active NPI

Edward Haaz, LPC

  • Professional Counselor
  • Furlong, PA
National Provider Identifier
1821068248
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC000685 Issued in PA
Practice address
1878 Sugar Bottom Rd
Furlong, PA 18925-1526
Phone
(215) 345-7838
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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 PC000685 PA Primary

Addresses

Primary practice location

1878 Sugar Bottom Rd
Furlong, PA 18925-1526

Mailing address

1878 Sugar Bottom Rd
Furlong, PA 18925-1526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240926000501 PA Practitioner - Mental Health Counselor 9638610967 Practice locations: Furlong, PA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1878 Sugar Bottom Rd
Furlong, PA 18925-1526
Phone (215) 353-2581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1821068248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1878 SUGAR BOTTOM RD",
            "city": "FURLONG",
            "state": "PA",
            "postal_code": "189251526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1878 SUGAR BOTTOM RD",
            "city": "FURLONG",
            "state": "PA",
            "postal_code": "189251526",
            "telephone_number": "215-345-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAZ",
        "first_name": "EDWARD",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC000685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Furlong, PA

Sources for this page

Verify at the official NPI Registry.