Active NPI
Victoria M Haynes, LPC
- Professional Counselor
- Gloucester, VA
National Provider Identifier
1336798545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701008605
- Practice address
- 9228 George Washington Memorial Hwy
Gloucester, VA 23061-4162 - Phone
- (804) 695-8120
- NPI assigned
- Sep 10, 2019
- 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 | 0701008605 | VA | Primary |
Addresses
Primary practice location
9228 George Washington Memorial Hwy
Gloucester, VA 23061-4162
Mailing address
9228 George Washington Memorial Hwy
Gloucester, VA 23061-4162
Phone (804) 695-8120
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701008605 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lantern Path Therapy, PLLC | Professional | Current | Accepting new patients |
Locations
4732 Longhill Rd
Ste 3202
Williamsburg, VA 23188
Phone (757) 345-8500
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1336798545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9228 GEORGE WASHINGTON MEMORIAL HWY",
"city": "GLOUCESTER",
"state": "VA",
"postal_code": "230614162",
"telephone_number": "804-695-8120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9228 GEORGE WASHINGTON MEMORIAL HWY",
"city": "GLOUCESTER",
"state": "VA",
"postal_code": "230614162",
"telephone_number": "804-695-8120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "VICTORIA",
"middle_name": "M",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701008605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gloucester, VA
- Elaine Haislip
- Sara Hammack
- Hampton Roads Pediatric Dentistry and Orthodontics, PLLC
- Hampton Roads Trauma and Recovery Treatment Center LLC
- Kiara Harmon, LPC
- Heart Felt Touch Massage Therapy, LLC
- Helping Hearts in-Home Care, LLC
- Bradley Brian Hendricks, D.O.
- Edward Cale Hendricks, M.D.
- Victoria Leigh Hensley, BSN, RN, CEN, SANE-A
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.