Active NPI
Nineveh Haysbert
- Professional Counselor
- Kingstree, SC
National Provider Identifier
1336405786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 422 Madison Ave
Kingstree, SC 29556-3619 - Phone
- (757) 310-8178
- NPI assigned
- Apr 10, 2012
- 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 | Primary |
Addresses
Primary practice location
422 Madison Ave
Kingstree, SC 29556-3619
Mailing address
PO Box 3622
Hampton, VA 23663-0622
Phone (757) 310-8178
Other practice location 1
401 NE 46th St
Oklahoma City, OK 73105-3309
Phone (405) 602-6331
Other names 1
- Ms. Nineveh Haysbert
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighter Days Youth and Family Servcies, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Oklahoma City, OK
- NPI 1255628871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1336405786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3622",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236630622",
"telephone_number": "757-310-8178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 MADISON AVE",
"city": "KINGSTREE",
"state": "SC",
"postal_code": "295563619",
"telephone_number": "757-310-8178"
}
],
"practiceLocations": [
{
"address_1": "401 NE 46th St",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731053309",
"country_code": "US",
"telephone_number": "405-602-6331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYSBERT",
"first_name": "NINEVEH",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NINEVEH",
"last_name": "HAYSBERT",
"prefix": "MS.",
"credential": "CWIC, LPC, LADC,DCC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Kingstree, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.