Individual provider Active NPI

Neely Elizabeth Haynes, ALC

  • Mental Health Counselor
  • Clanton, AL
National Provider Identifier
1124673843
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C3350A Issued in AL
Practice address
808 Lay Dam Rd
Clanton, AL 35045-2943
NPI assigned
Aug 8, 2019
Last updated
Aug 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C3350A AL Primary

Addresses

Primary practice location

808 Lay Dam Rd
Clanton, AL 35045-2943

Mailing address

808 Lay Dam Rd
Clanton, AL 35045-2943
Phone (205) 280-7733

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C3350AALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Wellness Group, LLC CurrentSince May 16, 2021 Accepting new patients
The Wellness Group, LLC Mental Health CurrentSince Aug 11, 2019 Accepting new patients

Locations

808 Lay Dam Rd
Clanton, AL 35045
Phone (205) 280-7733

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25772/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1124673843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 LAY DAM RD",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350452943",
            "telephone_number": "205-280-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 LAY DAM RD",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350452943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "NEELY",
        "middle_name": "ELIZABETH",
        "credential": "ALC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C3350A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clanton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.

Verify at the official NPI Registry.