Active NPI
Krissandra Cherria Haynes, LPC
- Professional Counselor
- McKinney, TX
National Provider Identifier
1245824457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 81998
- Practice address
- 7290 Virginia Pkwy
McKinney, TX 75071-5740 - Phone
- (469) 808-1016
- NPI assigned
- Feb 28, 2021
- Last updated
- Feb 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 81998 | TX | Primary |
Addresses
Primary practice location
7290 Virginia Pkwy
McKinney, TX 75071-5740
Mailing address
115 Crestbrook Dr
Rockwall, TX 75087-7131
Phone (770) 298-3558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Austin, TX 78731
Phone (415) 360-3348
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81998 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Medical, P.C. | Current | Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737
Organizations & group practices 1
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": "1614470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614470400000",
"number": "1245824457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 CRESTBROOK DR",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750877131",
"telephone_number": "770-298-3558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7290 VIRGINIA PKWY",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750715740",
"telephone_number": "469-808-1016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "KRISSANDRA",
"middle_name": "CHERRIA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-28",
"last_updated": "2021-02-28",
"certification_date": "2021-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "81998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2021; 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.