Individual provider Active NPI

Catherine Parra Haynes, M.S., LMFT

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1487296059
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
97467 Issued in CA
Practice address
4344 Latham St
Riverside, CA 92501-0400
Phone
(951) 779-4917
NPI assigned
Oct 15, 2019
Last updated
Oct 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 97467 CA Primary

Addresses

Primary practice location

4344 Latham St
Riverside, CA 92501-0400

Mailing address

1234 Muirfield Rd
Riverside, CA 92506-5577
Phone (951) 907-5361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20241004003234 CA Practitioner - Marriage and Family Therapist 5092246785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4344 Latham St
Suite 110
Riverside, CA 92501-0400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
97467CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Raincross Counseling Services, LLC Marriage & Family Therapist CurrentSince Aug 1, 2024 Accepting new patients

Locations

4344 Latham St
Ste 110
Riverside, CA 92501
Phone (951) 265-7610

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": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1487296059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 MUIRFIELD RD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925065577",
            "telephone_number": "951-907-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 LATHAM ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925010400",
            "telephone_number": "951-779-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "CATHERINE",
        "middle_name": "PARRA",
        "credential": "M.S., LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "97467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.