Individual provider Active NPI

Carrie Anne Haynes, M.ED.

  • Mental Health Counselor
  • Fort Collins, CO
National Provider Identifier
1306155338
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5089 Issued in CO
Practice address
Colorado State Univ
123 Aylesworth Hall NW
Fort Collins, CO 80523-8010
Phone
(970) 491-0823
Fax
(970) 491-2382
NPI assigned
Sep 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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 5089 CO Primary

Addresses

Primary practice location

Colorado State Univ
123 Aylesworth Hall NW
Fort Collins, CO 80523-8010

Mailing address

Colorado State Univ
123 Aylesworth Hall NW
Fort Collins, CO 80523-8010
Phone (970) 491-0823

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
Credentials
Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1306155338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COLORADO STATE UNIV",
            "address_2": "123 AYLESWORTH HALL NW",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805238010",
            "telephone_number": "970-491-0823",
            "fax_number": "970-491-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COLORADO STATE UNIV",
            "address_2": "123 AYLESWORTH HALL NW",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805238010",
            "telephone_number": "970-491-0823",
            "fax_number": "970-491-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "CARRIE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "5089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.