Individual provider Active NPI

Marvi Arredondo Haynes, LMFT-A

  • Marriage & Family Therapist
  • Austin, TX
National Provider Identifier
1295020956
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
201482 Issued in TX
Practice address
4601 Spicewood Springs Rd.
Austin Psychotherapy Assoc. BLDG. 4 Suite 200
Austin, TX 78759
Phone
(512) 231-0164
NPI assigned
Jun 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 65719 TX
Marriage & Family Therapist 106H00000X 201482 TX Primary

Addresses

Primary practice location

4601 Spicewood Springs Rd.
Austin Psychotherapy Assoc. BLDG. 4 Suite 200
Austin, TX 78759

Mailing address

4601 Spicewood Springs
Austin Psychotherapy Assoc. BLDG. 4 Suite 200
Austin, TX 78759
Phone (512) 231-0164

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
65719TXMDMental Health Counselor
201482TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1295020956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 SPICEWOOD SPRINGS",
            "address_2": "AUSTIN PSYCHOTHERAPY ASSOC. BLDG. 4 SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78759",
            "telephone_number": "512-231-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 SPICEWOOD SPRINGS RD.",
            "address_2": "AUSTIN PSYCHOTHERAPY ASSOC. BLDG. 4 SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78759",
            "telephone_number": "512-231-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "MARVI",
        "middle_name": "ARREDONDO",
        "name_prefix": "Ms.",
        "credential": "LMFT-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "65719",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.