Sandra K Haynes, LPC CANDIDATE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3140 W Britton Rd Ste 201
Oklahoma City, OK 73120-2039

Phone

(405) 607-6292

Fax

(405) 607-6307

NPI assigned

Oct 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Primary Therapeutic Services, LLC

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1770929960
  NPD

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1487296182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 721214",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731721214",
            "telephone_number": "580-484-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 W BRITTON RD STE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731202039",
            "telephone_number": "405-607-6292",
            "fax_number": "405-607-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "SANDRA",
        "middle_name": "K",
        "credential": "LPC CANDIDATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David E Haynes, PT
• George Omar Haynes
• Jacob Asher Haynes, M.D.
• Kela J Haynes, BA,BHRS,CM-D
• Raven Haynes
• Savanah Casey Haynes
• Tricia Anne Haynes
• Catherine Ann Hays
• Courtney L Hays
• Damon Lynn Hays, HOUSING CASE MANAGER

• All providers in Oklahoma City, OK
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.