Active NPI
Deborah Amelia Haskins, MS, LADC, CCS
- Addiction (Substance Use Disorder) Counselor
- Waterbury, VT
National Provider Identifier
1962827238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- VT 000004
- Practice address
- 65 S Main St
Waterbury, VT 05676-1550 - Phone
- (802) 244-7700
- Fax
- (802) 456-1479
- NPI assigned
- Feb 24, 2014
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | VT 000004 | VT | Primary |
Addresses
Primary practice location
65 S Main St
Waterbury, VT 05676-1550
Mailing address
65 S Main St
Waterbury, VT 05676-1550
Phone (802) 244-7700
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VT 000004 | VT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1962827238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 S MAIN ST",
"city": "WATERBURY",
"state": "VT",
"postal_code": "056761550",
"telephone_number": "802-244-7700",
"fax_number": "802-456-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 S MAIN ST",
"city": "WATERBURY",
"state": "VT",
"postal_code": "056761550",
"telephone_number": "802-244-7700",
"fax_number": "802-456-1479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASKINS",
"first_name": "DEBORAH",
"middle_name": "AMELIA",
"credential": "MS, LADC, CCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-24",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VT",
"license": "VT 000004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.