Stacey S Haugen, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

STACEY S HAUGEN, PLLC

Practice address

6221 University Drive
Bismarck, ND 58504

Phone

(701) 258-4483

Fax

(701) 258-4483

NPI assigned

Jan 12, 2016

Last updated

Jan 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacey S Haugen, RN, MSN, CSNPI 1255436226

Title

President

Phone

(701) 258-4483

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacey S Haugen, MSN, CS

  • Mental Health Counselor
  • Bismarck, ND
  • NPI 1255436226
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1902262520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 UNIVERSITY DRIVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58504",
            "telephone_number": "701-258-4483",
            "fax_number": "701-258-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 UNIVERSITY DRIVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58504",
            "telephone_number": "701-258-4483",
            "fax_number": "701-258-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY S HAUGEN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "HAUGEN",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-258-4483",
        "authorized_official_credential": "RN, MSN, CS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Alexius Medical Center (Great Plains Rehabilitation Services)
• St. Alexius Medical Center (CHI St. Alexius Health)
• St. Alexius Medical Center Pharmacy
• Christine Ann Staab, C.R.PH TECH
• Annette Jolene Staael
• Sara Stadick
• Darla J Stafford, LICSW
• Gale C Stahl, BS LAC
• Michelle A Stahl
• Nigeria M Stahl, MD

• Mental Health Counselor in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Mental Health Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.