MEDICARE: KATHERINE HAAS MS/LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101YP2500X	Professional Counselor	E.2202932-SUPV	OH
3	101YP2500X	Professional Counselor	E.2202932	OH
4	101Y00000X	Counselor	E.2202932-SUPV	OH

General Provider Information

NPI Number	:	1811486137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE HAAS MS/LPCC

Provider Business Mailing Address
First Line	:	17 WYOMING AVE
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	OH
Zip	:	45215-4303
Country	:	US
Telephone Number	:	513-206-7245
Fax Number	:	513-206-7245

Provider Business Practice Location Address
First Line	:	17 WYOMING AVE
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	OH
Zip	:	45215-4303
Country	:	US
Telephone Number	:	213-206-7170
Fax Number	:	513-206-7245

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2018
Last Update Date	:	10/14/2024

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