Active NPI
Courtney Haas, DNP
- Psychiatric/Mental Health Nurse Practitioner
- Fenton, MO
National Provider Identifier
1952943144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2019037883
- Practice address
- 2117 Bentley PLZ
Fenton, MO 63026-2124 - Phone
- (636) 825-2200
- Fax
- (636) 825-2201
- NPI assigned
- Oct 9, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2019037883 | MO | Primary |
Addresses
Primary practice location
2117 Bentley PLZ
Fenton, MO 63026-2124
Mailing address
2117 Bentley PLZ
Fenton, MO 63026-2124
Phone (636) 825-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Missouri, Kansas City, School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1738 Gilsinn LN
Fenton, MO 63026-2004
Phone (636) 594-7883
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspire Wellness STL, LLC | Current | Accepting new patients |
Locations
1738 Gilsinn Ln
Fenton, MO 63026
Phone (636) 594-7883
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578009600000",
"number": "1952943144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2117 BENTLEY PLZ",
"city": "FENTON",
"state": "MO",
"postal_code": "630262124",
"telephone_number": "636-825-2200",
"fax_number": "636-825-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2117 BENTLEY PLZ",
"city": "FENTON",
"state": "MO",
"postal_code": "630262124",
"telephone_number": "636-825-2200",
"fax_number": "636-825-2201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAS",
"first_name": "COURTNEY",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-09",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2019037883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.