Individual provider Active NPI

Chantal D Hayes, MA, LCMHCS

  • Mental Health Counselor
  • Winston Salem, NC
National Provider Identifier
1093136525
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
S9282 Issued in NC
Practice address
3303 Healy Dr Ste B
Winston Salem, NC 27103-1569
Phone
(910) 599-0218
Fax
(336) 450-4880
NPI assigned
Dec 31, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X S9282 NC
Professional Counselor 101YP2500X S9282 NC
Mental Health Counselor 101YM0800X S9282 NC Primary

Addresses

Primary practice location

3303 Healy Dr Ste B
Winston Salem, NC 27103-1569

Mailing address

3303 Healy Dr Ste B
Winston Salem, NC 27103-1569
Phone (910) 599-0218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250718003718 NC Practitioner - Mental Health Counselor 9931615754 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Banyan Integrated Health PLLC Mental Health Current Accepting new patients
Banyan Tree Counseling PLLC Counselor CurrentSince Apr 26, 2025 Accepting new patients

Locations

1348 Westgate Center Dr
Ste 202
Winston Salem, NC 27103
Phone (336) 493-5878

3303 Healy Dr
Ste B
Winston Salem, NC 27103
Phone (336) 448-4451

3305 Healy Dr
Winston Salem, NC 27103
Phone (336) 448-4451

Organizations & group practices 2

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": "1388448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1093136525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 HEALY DR STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031569",
            "telephone_number": "910-599-0218",
            "fax_number": "336-450-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 HEALY DR STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031569",
            "telephone_number": "910-599-0218",
            "fax_number": "336-450-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "CHANTAL",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "MA, LCMHCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-31",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NC",
            "license": "S9282",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "S9282",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S9282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.