Kelly Shaun Haught, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1498 Issued in TN

Practice address

207 E Main St
Fountain Place Suite 1C
Johnson City, TN 37604-5747

Phone

(423) 292-4673

Fax

(423) 434-2991

NPI assigned

Feb 28, 2006

Last updated

May 28, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Artemis Enrichment & Learning Center, LLC

  • Professional Counselor
  • Johnson City, TN
  • NPI 1487847091
  NPD (past) Authorized official

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1831165885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4475",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376024475",
            "telephone_number": "423-292-8364",
            "fax_number": "423-434-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E MAIN ST",
            "address_2": "FOUNTAIN PLACE SUITE 1C",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045747",
            "telephone_number": "423-292-4673",
            "fax_number": "423-434-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGHT",
        "first_name": "KELLY",
        "middle_name": "SHAUN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "1498",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "1498",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen H Hatcher, M.D.
• John Lusk Hathaway, D.D.S.
• Karen G Hathaway, FNP
• Jason T Hatjioannou, MD
• Rebekah J Hauck, FNP
• Charlotte Hawkins, MD
• Lydia Haworth
• Lauren Tiffany Hayden, PA
• Kamran Hayel-Moghadam, M.D.
• Hayes Counseling and Consultation Services

• Mental Health Counselor in Johnson City, TN
• Providers in Johnson City, 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 May 28, 2015; 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.