Jessica Talley-Haynes, LPC
Individual provider Active NPI Professional Counselor · Floyd, VA
NPI 1104438613 · NPPES record last updated Aug 1, 2025
Key facts
- NPI
- 1104438613
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701009759 (VA)
- Practice address
- 188 Ecovillage TRL SE
Floyd, VA 24091-1109 - Phone
- (540) 745-2222
- NPI assigned
- Aug 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Be Well Now
Practice addresses (Care Compare)
188 Ecovillage TRL SE
Floyd, VA 24091-1109
Phone (540) 745-2222
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260113000192 | VA | Practitioner - Mental Health Counselor | 9234573577 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701009759 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Be Well Now | Current |
Accepting new patients | |
| Angela McGoldrick, LPC, LLC | Professional | Past |
Accepting new patients |
Locations
188 Ecovillage Trl SE
Floyd, VA 24091
Phone (540) 745-2222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701009759 | VA | Yes |
Addresses
Primary practice location
188 Ecovillage TRL SE
Floyd, VA 24091-1109
Mailing address
PO Box 864
Floyd, VA 24091-0864
Phone (540) 745-2222
Other providers in Floyd, VA
- Elizabeth Carlyle Spencer
- Parris Minor Stafford
- Strengthening Our System Inc
- Susan P. Osborne, DO
- Susan Page Osborne
- Tandem Health Care of Floyd, LLC
- Denise Schmeitzel Thomas
- Tempry Thomas
- Portia Dawn Thompson
- Tri Area Community Health
All providers in Floyd, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.