Active NPI
Michaela Haynes
- Professional Counselor
- Dallas, TX
National Provider Identifier
1083258792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 79433
- Practice address
- 1400 Hi Line Dr Apt 2216
Dallas, TX 75207-3453 - Phone
- (972) 404-6233
- NPI assigned
- Nov 5, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 79433 | TX | Primary |
Addresses
Primary practice location
1400 Hi Line Dr Apt 2216
Dallas, TX 75207-3453
Mailing address
1400 Hi Line Dr Apt 2216
Dallas, TX 75207-3453
Phone (972) 404-6233
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
| A Beautiful Mind Behavioral Health, PLLC | Current | Accepting new patients | |
| Vcounselors PLLC | Professional | Current | Accepting new patients |
| Shine Medical Providers PC | Past | Accepting new patients |
Locations
5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990
Interoperability endpoints
- michaelahaynes@tdh.allscriptsdirect.net
Organizations & group practices 4
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.
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-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Professional
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1538894050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1083258792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 HI LINE DR APT 2216",
"city": "DALLAS",
"state": "TX",
"postal_code": "752073453",
"telephone_number": "972-404-6233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 HI LINE DR APT 2216",
"city": "DALLAS",
"state": "TX",
"postal_code": "752073453",
"telephone_number": "972-404-6233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "MICHAELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-05",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "79433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.