Path of Change Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PATH OF CHANGE COUNSELING

Practice address

2267 Coventry Dr
Winter Park, FL 32792-2214

Phone

(904) 250-2436

NPI assigned

Sep 29, 2026

Last updated

Sep 29, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Courtney Kiana Haynes, LMHCNPI 1689356792

Title

Member

Phone

(904) 250-2436

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Courtney Kiana Haynes, MH27091

  • Mental Health Counselor
  • Lake Mary, FL
  • NPI 1689356792
  NPD (past) Authorized official

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1023922143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 W LAKE MARY BLVD UNIT 950460",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327957520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2267 COVENTRY DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922214",
            "telephone_number": "904-250-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH OF CHANGE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "KIANA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "904-250-2436",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamma Patel
• Shilpa Rashmikant Patel, M.D.
• Sonum Patel
• Tariq Patel, MD
• Thomas Andrew Paterniti, MD
• Harish M Patil, M.D.
• Aftab Patni, MD
• Patrick Crews LCSW LLC (PHC Mental Health Counseling)
• Patrick W Gorman PSYD LLC
• Beth Patterson

• Mental Health Counselor in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.