Organization Active NPI

Lynn M Haynes, Lisw, LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1194077396
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
I-05833 Issued in NM
Legal business name
LYNN M HAYNES, LISW, LLC
Practice address
4010 Carlisle Blvd NE Ste G
Albuquerque, NM 87107-4532
Phone
(505) 238-9551
NPI assigned
Oct 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Lynn M Haynes, LISWNPI 1881816528
Title
Owner
Phone
(505) 238-9551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X I-05833 NM Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

4010 Carlisle Blvd NE Ste G
Albuquerque, NM 87107-4532

Mailing address

221 Tornasol LN NE
Albuquerque, NM 87113-1214
Phone (505) 238-9551

Other identifiers 1

IdentifierTypeStateIssuer
23651032MedicaidNM

National Provider Directory

National Provider Directory

Locations

2626 Central Ave SW
Albuquerque, NM 87104
Phone (505) 321-0794

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1194077396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 TORNASOL LN NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131214",
            "telephone_number": "505-238-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 CARLISLE BLVD NE STE G",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074532",
            "telephone_number": "505-238-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN M HAYNES, LISW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-238-9551",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "I-05833",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23651032",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.