Active NPI
Susan A. Haberkorn, M.C.C.
- Pastoral Counselor
- Hagerstown, MD
National Provider Identifier
1942567011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- 14472
- Practice address
- 18908 Crofton Rd
Hagerstown, MD 21742-2736 - Phone
- (301) 797-6645
- NPI assigned
- Apr 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | 14472 | FL | Primary |
Addresses
Primary practice location
18908 Crofton Rd
Hagerstown, MD 21742-2736
Mailing address
18908 Crofton Rd
Hagerstown, MD 21742-2736
Phone (301) 797-6645
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14472 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334275200000",
"number": "1942567011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18908 CROFTON RD",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217422736",
"telephone_number": "301-797-6645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18908 CROFTON RD",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217422736",
"telephone_number": "301-797-6645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABERKORN",
"first_name": "SUSAN",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "M.C.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-13",
"last_updated": "2012-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "FL",
"license": "14472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.