Active NPI
Sheri Haines, MA, LPC, LICDC
- Addiction (Substance Use Disorder) Counselor
- Urbana, OH
National Provider Identifier
1902093347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 011139
- Practice address
- 904 Scioto St
Community Mercy Reach
Urbana, OH 43078 - Phone
- (937) 653-3001
- Fax
- (937) 484-6186
- NPI assigned
- Oct 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 011139 | OH | Primary |
| Social Worker | 104100000X | C 0004980 | OH |
Addresses
Primary practice location
904 Scioto St
Community Mercy Reach
Urbana, OH 43078
Mailing address
904 Scioto St
Community Mercy Reach
Urbana, OH 43078
Phone (937) 653-3001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011139 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| C 0004980 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191196800000",
"number": "1902093347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 SCIOTO ST",
"address_2": "COMMUNITY MERCY REACH",
"city": "URBANA",
"state": "OH",
"postal_code": "43078",
"telephone_number": "937-653-3001",
"fax_number": "937-484-6186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 SCIOTO ST",
"address_2": "COMMUNITY MERCY REACH",
"city": "URBANA",
"state": "OH",
"postal_code": "43078",
"telephone_number": "937-653-3001",
"fax_number": "937-484-6186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAINES",
"first_name": "SHERI",
"credential": "MA, LPC, LICDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-01",
"last_updated": "2007-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "011139",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "C 0004980",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Urbana, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.