Active NPI
Richard B Haines
- Mental Health Counselor
- West Palm Beach, FL
National Provider Identifier
1417571241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH18892
- Practice address
- 728 Executive Center Dr Apt 28
West Palm Beach, FL 33401-8692 - Phone
- (202) 909-0031
- NPI assigned
- Jun 8, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH18892 | FL | Primary |
Addresses
Primary practice location
728 Executive Center Dr Apt 28
West Palm Beach, FL 33401-8692
Mailing address
PO Box 11817
West Palm Beach, FL 33419-1817
Phone (202) 909-0031
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Richiebhaines@outlook.com | Direct |
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 |
|---|---|---|---|
| IMH18892 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591574400000",
"number": "1417571241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11817",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334191817",
"telephone_number": "202-909-0031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "728 EXECUTIVE CENTER DR APT 28",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334018692",
"telephone_number": "202-909-0031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAINES",
"first_name": "RICHARD",
"middle_name": "B",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-08",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH18892",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Richiebhaines@outlook.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "728 Executive Center Dr Apt 28",
"city": "West Palm Beach",
"state": "FL",
"country_code": "US",
"postal_code": "334018692",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.