Timothy Haines, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-1661 Issued in AZ

Practice address

10032 E Southern Ave
Mesa, AZ 85209-2759

Phone

(480) 351-2850

NPI assigned

Dec 4, 2006

Last updated

Apr 6, 2023By the provider in NPPES

Sex

Male

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

Enrolled in AZ

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

Specialty

Mental Health Counselor

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sun Life Family Health Center IncGroup PAC ID 9335032275, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sun Life Family Health Center, Inc.

  dba Sun Life Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Casa Grande, AZ
  • NPI 1891913166
  Medicare reassignment Care Compare group NPD
• Sun Life Family Health Center, Inc.

  • Community/Retail Pharmacy
  • Casa Grande, AZ
  • NPI 1275693947
  NPD
• Sun Life Family Health Center, Inc.

  dba Sun Life Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Eloy, AZ
  • NPI 1588876429
  NPD
• Sun Life Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Maricopa, AZ
  • NPI 1881073443
  NPD
• Sun Life Family Health Center, Inc.

  dba Sun Life Family Health Center-Florence

  • Federally Qualified Health Center (FQHC)
  • Florence, AZ
  • NPI 1902278252
  NPD
• Horizon Health & Wellness, Inc.

  • Mental Health Counselor
  • Queen Creek, AZ
  • NPI 1235431271
  NPD (past)
• Horizon Health & Wellness, Inc.

  dba Mountain Health & Wellness

  • Community/Behavioral Health Agency
  • Oracle, AZ
  • NPI 1659458750
  NPD (past)
• Horizon Health and Wellness, Inc.

  • Federally Qualified Health Center (FQHC)
  • Globe, AZ
  • NPI 1689436412
  NPD (past)
• Horizon Health and Wellness, Inc.

  • Federally Qualified Health Center (FQHC)
  • Oracle, AZ
  • NPI 1710366737
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1497813638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10097",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851300020",
            "telephone_number": "520-836-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10032 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092759",
            "telephone_number": "480-351-2850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Globe",
            "state": "AZ",
            "postal_code": "855012757",
            "country_code": "US",
            "telephone_number": "928-402-9297",
            "fax_number": "928-402-9414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAINES",
        "first_name": "TIMOTHY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-1661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Haggerty, PT, DPT
• Dakota Hagood, RBT
• Mindy Marie Hagstrom, O.D.
• Alyssa Michelle Hague, RN, BSN
• Taryn Michelle Haight
• Cheryl Haist
• Luke J Halbur, MD
• Olynn Shir Halcromb, MS, BCBA, LBA
• Shawna Hale, LPC
• Stephen Frankie Hale, PT, DPT

• Mental Health Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.