Terri Lynn Haley I, MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFT3374 Issued in CA

Practice address

5213 El Mercado Pkwy Ste a
Santa Rosa, CA 95403-1301

Phone

(707) 523-9066

NPI assigned

Oct 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255392000000",
    "number": "1396070058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6684 HARVARD DR",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954725121",
            "telephone_number": "707-523-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5213 EL MERCADO PKWY STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031301",
            "telephone_number": "707-523-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "TERRI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFT3374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Brian Haimson, MD
• Nicola Denise Haines, PT
• Carina Hajdu
• Kristy Ann Hale
• Heather Lynn Haley, LMSW
• Sara M Hall-Kennedy
• Bradley Ingalls Hall, O.D.
• Diego Paris Hall, LMFT
• Glenn Wallace Hall, RPH
• Jason Robert Hall, MSPT

• Mental Health Counselor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.