Individual provider Active NPI

Rania Haynes, MA, LPCC

  • Mental Health Counselor
  • Bowling Green, OH
National Provider Identifier
1417491713
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1600071 Issued in OH
Practice address
1021 Revere Dr
Bowling Green, OH 43402-1224
Phone
(419) 556-6807
Fax
(419) 643-9210
NPI assigned
Dec 6, 2016
Last updated
Mar 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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 E.1600071 OH Primary

Addresses

Primary practice location

1021 Revere Dr
Bowling Green, OH 43402-1224

Mailing address

2111 E Wooster St Ste A1
Bowling Green, OH 43402-9083
Phone (419) 556-6807

Other practice location 1

1425 Starr Ave
Toledo, OH 43605-2456
Phone (419) 693-0631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403002058 OH Practitioner - Mental Health Counselor 0840638367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1021 Revere Dr
Bowling Green, OH 43402-1224
Phone (419) 664-4896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
E.1600071OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Mental Health Services, LLC Mental Health CurrentSince Mar 1, 2022 Accepting new patients

Locations

1021 Revere Dr
Bowling Green, OH 43402
Phone (419) 556-6807

1021 Revere Dr
Ste A1
Bowling Green, OH 43402

2111 E Wooster St
Bowling Green, OH 43402
Phone (419) 373-8310

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1417491713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 E WOOSTER ST STE A1",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434029083",
            "telephone_number": "419-556-6807",
            "fax_number": "419-643-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 REVERE DR",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434021224",
            "telephone_number": "419-556-6807",
            "fax_number": "419-643-9210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Starr Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436052456",
            "country_code": "US",
            "telephone_number": "419-693-0631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "RANIA",
        "name_prefix": "Ms.",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-06",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1600071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

Verify at the official NPI Registry.