Michele Angela Haynam, LPC, NCC, CSOTP, CSA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701007399 Issued in VA

Practice address

2 Eaton St
Hampton, VA 23669-4054

Phone

(757) 513-4444

NPI assigned

Jan 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1336657402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EATON STREET",
            "address_2": "SUITE 1103",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "23669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EATON ST",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236694054",
            "telephone_number": "757-513-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 Hastings Place",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234362343",
            "country_code": "US",
            "telephone_number": "757-238-9288",
            "fax_number": "757-238-9288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNAM",
        "first_name": "MICHELE",
        "middle_name": "ANGELA",
        "name_prefix": "Ms.",
        "credential": "LPC, NCC, CSOTP, CSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0812000773",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007399",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian T Hatton
• Haven Rise Health Care
• Felton Hawkins
• Anthony Jonathan Hayes, MD
• Margaret Hayes
• Tracy Haynes-Legrand, PHARMD
• Gerald A Haynes, PA
• Reginald Haynes Jr., LCSW
• Tara Suzette Hazzard-Patterson, LPC
• Darcie Headley, NP

• Professional Counselor in Hampton, VA
• Providers in Hampton, VA by specialty
• Professional Counselor in Virginia

• 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.

Verify at the official NPI Registry.