Individual provider Active NPI

Dawn Marie D'Haeze, MSW, CADC I, QMHP-R

  • Mental Health Counselor
  • Lake Oswego, OR
National Provider Identifier
1992380059
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
23-QMHP-R-2374 Issued in OR
Practice address
5 Centerpointe Dr Ste 320
Lake Oswego, OR 97035-8696
Phone
(971) 213-2837
NPI assigned
Mar 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 23-QMHP-R-2374 OR Primary

Addresses

Primary practice location

5 Centerpointe Dr Ste 320
Lake Oswego, OR 97035-8696

Mailing address

5 Centerpointe Dr Ste 320
Lake Oswego, OR 97035-8696
Phone (971) 213-2837

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

LicenseStateTypeSpecialty
23-QMHP-R-2374ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC Counselor PastSince Nov 5, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1992380059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CENTERPOINTE DR STE 320",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358696",
            "telephone_number": "971-213-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CENTERPOINTE DR STE 320",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358696",
            "telephone_number": "971-213-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'HAEZE",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "credential": "MSW, CADC I, QMHP-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "23-QMHP-R-2374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.