Karl Abraham Haeckler, DBH, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L7807 Issued in OR

Practice address

135 NE Steiger St
Grants Pass, OR 97526-1311

Phone

(541) 479-6912

NPI assigned

May 22, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Timberline Counseling LLC

  • Mental Health Counselor
  • Grants Pass, OR
  • NPI 1235867680
  NPD Authorized official

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1972126159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 NE STEIGER ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261311",
            "telephone_number": "541-479-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 NE STEIGER ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261311",
            "telephone_number": "541-479-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAECKLER",
        "first_name": "KARL",
        "middle_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "DBH, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Guymon, D.O.
• Jessica Eve Haas
• Staysha Hackmann
• Haitham Boulos Haddad, M.D.
• Sheila Margaret Haddad, PHYSICAL THERAPIST
• Robin Haer
• Erika Hageman
• Robyn Hager
• Angela Marie Hagerty, MSN, APRN, FNP-C
• Josh Haggans, AAS,CADC

• Clinical Social Worker in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.