Tamara Jamison Haynes, LCMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8430 Issued in NC

Practice address

1608 Queen St Ste 111
Wilmington, NC 28401-5527

Phone

(980) 257-5530

Fax

(888) 391-4375

NPI assigned

Dec 30, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: integrativewellnesssolutions.tamarahaynes@146232.advancedmd-direct.com

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.

• Marvin Behavioral Health Ma PC

  • Psychologist
  • Boston, MA
  • NPI 1740860428
  NPD (past)

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1457655722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 RYE BROOK BLVD NE UNIT 416",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284517147",
            "telephone_number": "980-257-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 QUEEN ST STE 111",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284015527",
            "telephone_number": "980-257-5530",
            "fax_number": "888-391-4375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 S 16th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284016611",
            "country_code": "US",
            "telephone_number": "910-632-2191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "TAMARA",
        "middle_name": "JAMISON",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-30",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8430",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A8430",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457655722",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Faye Hayes, PA-C
• Nina Lea Hayhurst-Chacon, M.A., LPA, HSP-PA
• Hayley Nemeth, LCSW, PLLC
• Brittany Raley Haynes, MSW, LCSW-A
• Lana Michelle Oliver Haynes, PAC
• Lisa K Hayward, M.S.
• Edmund Burke Haywood Jr., MD
• Claire Hazard
• Craig E Headlee, CRNA
• Stacey Headrick, M.ED..CCC-SLP

• Professional Counselor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.