Active NPI
Andrexiry Haynes
- Professional Counselor
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 86463
- Practice address
- 12801 N Central Expy Ste 480-a
Dallas, TX 75243-1716 - Phone
- (469) 430-9586
- NPI assigned
- Jan 3, 2023
- Last updated
- Apr 2, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | 86463 | TX | Primary |
| Professional Counselor | 101YP2500X | 86463 |
Addresses
Primary practice location
12801 N Central Expy Ste 480-a
Dallas, TX 75243-1716
Mailing address
2912 Little Rd
Arlington, TX 76016-1725
Phone (817) 457-6728
Other practice location 1
2912 Little Rd
Arlington, TX 76016-1725
Phone (817) 457-6728
Other practice location 2
14275 Midway Rd Ste 200
Addison, TX 75001-3618
Phone (469) 430-9586
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | simplepractice | ||
| CONNECT URL | TherapyNotes |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86463 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redemptive Hope PLLC | Professional | Current | Accepting new patients |
| Lake Arlington Baptist Church | Past | Accepting new patients |
Locations
14275 Midway Rd
Addison, TX 75001
Phone (469) 430-8586
14275 Midway Rd
Ste 200
Addison, TX 75001
Phone (214) 420-9301
12801 N Central Expy
Ste 480A
Dallas, TX 75243
Phone (469) 430-9586
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Dallas, TX
- NPI 1356172001
-
dba Impact Counseling & Guidance Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Arlington, TX
- NPI 1831365634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1598478778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2912 LITTLE RD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760161725",
"telephone_number": "817-457-6728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12801 N CENTRAL EXPY STE 480-A",
"city": "DALLAS",
"state": "TX",
"postal_code": "752431716",
"telephone_number": "469-430-9586"
}
],
"practiceLocations": [
{
"address_1": "2912 Little Rd",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TX",
"postal_code": "760161725",
"country_code": "US",
"telephone_number": "817-457-6728",
"fax_number": "999-999-9999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14275 Midway Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Addison",
"state": "TX",
"postal_code": "750013618",
"country_code": "US",
"telephone_number": "469-430-9586",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYNES",
"first_name": "ANDREXIRY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-03",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "86463",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": "86463",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "simplepractice",
"affiliation": "N",
"address_1": "2001 W Plano Pkwy Ste 1400",
"city": "Plano",
"state": "TX",
"country_code": "US",
"postal_code": "750758607",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "TherapyNotes",
"affiliation": "N",
"address_1": "2912 Little Rd",
"city": "Arlington",
"state": "TX",
"country_code": "US",
"postal_code": "760161725",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.