Individual provider Active NPI

Cara Haynie-Pena, MS, LPC

  • Mental Health Counselor
  • Corpus Christi, TX
National Provider Identifier
1265586267
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
15667 Issued in TX
Practice address
5262 S Staples St
Suite 300
Corpus Christi, TX 78411-4116
Phone
(361) 510-0557
Fax
(361) 850-8853
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 15667 TX Primary

Addresses

Primary practice location

5262 S Staples St
Suite 300
Corpus Christi, TX 78411-4116

Mailing address

5262 S Staples St
Suite 300
Corpus Christi, TX 78411-4116
Phone (361) 510-0557

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
15667TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265586267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5262 S STAPLES ST",
            "address_2": "SUITE 300",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114116",
            "telephone_number": "361-510-0557",
            "fax_number": "361-850-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5262 S STAPLES ST",
            "address_2": "SUITE 300",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114116",
            "telephone_number": "361-510-0557",
            "fax_number": "361-850-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNIE-PENA",
        "first_name": "CARA",
        "name_prefix": "Ms.",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "15667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.