William Burch Haynes Jr., M.ED.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701001325 Issued in VA

Practice address

613 Campus Dr Ste 200
Abingdon, VA 24210-9703

Phone

(276) 628-1186

NPI assigned

Apr 29, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Abingdon Physician PartnersGroup PAC ID 5991705667, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

Practice roles

Locations

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.

• Abingdon Physician Partners

  • Internal Medicine Physician
  • Abingdon, VA
  • NPI 1306944350
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1194135129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111",
            "fax_number": "423-282-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 CAMPUS DR STE 200",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242109703",
            "telephone_number": "276-628-1186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "274 Park St SE # 1441",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242103312",
            "country_code": "US",
            "telephone_number": "276-971-9715",
            "fax_number": "276-739-7926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 Campus Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242109704",
            "country_code": "US",
            "telephone_number": "276-258-4920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "WILLIAM",
        "middle_name": "BURCH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-29",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701001325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5414601",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl Thurman Harrison Jr., FNP-BC
• Melissa Lynn Hartwell, PA-C
• Andrew F Hawkins, MD
• Alexis Ann Hayden, FNP
• Kelley D Haynes, HIS
• William Aaron Hayter, MD
• Healing With It Trauma Therapy
• Kelli Anne Heasley, OTR
• Jennings Heilig, CRNA
• Hillary Helmer, MS CCC-SLP

• Professional Counselor in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.