Active NPI
Nathaniel Dante Haskins, DSP
- Pastoral Counselor
- Ashtabula, OH
National Provider Identifier
1982370136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- 000111
- Practice address
- 1111 Seymour Dr
Ashtabula, OH 44004-5511 - Phone
- (440) 645-0633
- NPI assigned
- Aug 18, 2021
- Sex
- Male
- 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 | 000111 | OH | Primary |
Addresses
Primary practice location
1111 Seymour Dr
Ashtabula, OH 44004-5511
Mailing address
1640 W 5TH St
Ashtabula, OH 44004-2834
Phone (440) 645-0366
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000111 | OH | MD | Pastoral Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T Haskins Foundation | Current | Accepting new patients |
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.
-
- Religious Nonmedical Health Care Institution
- Ashtabula, OH
- NPI 1801678420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1982370136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 W 5TH ST",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440042834",
"telephone_number": "440-645-0366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 SEYMOUR DR",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440045511",
"telephone_number": "440-645-0633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASKINS",
"first_name": "NATHANIEL",
"middle_name": "DANTE",
"credential": "DSP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-18",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "OH",
"license": "000111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashtabula, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.