Individual provider Active NPI

Sara Haynes, MA, LPC, ALMFT

  • Marriage & Family Therapist
  • Chicago, IL
National Provider Identifier
1427684752
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
208.000750 Issued in IL
Practice address
333 N Michigan Ave Ste 1010
Chicago, IL 60601-3729
Phone
(312) 463-9246
NPI assigned
Mar 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.015363 IL
Marriage & Family Therapist 106H00000X 208.000750 IL Primary

Addresses

Primary practice location

333 N Michigan Ave Ste 1010
Chicago, IL 60601-3729

Mailing address

333 N Michigan Ave Ste 1010
Chicago, IL 60601-3729

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL sara@relationshipreality312.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 10, 2024 through Jul 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
178.015363ILMDMental Health Counselor
208.000750ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Therapy Collective LLC Mental Health PastSince Jun 9, 2024 Accepting new patients
Relationship Reality 312, Inc. Marriage & Family Therapist PastSince Mar 22, 2020 Accepting new patients

Organizations & group practices 2

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": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1427684752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE STE 1010",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606013729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE STE 1010",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606013729",
            "telephone_number": "312-463-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "SARA",
        "credential": "MA, LPC, ALMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.015363",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "208.000750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sara@relationshipreality312.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Private Practice",
            "address_1": "333 N Michigan Ave Ste 1010",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606013729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.