Active NPI
Patricia Ann Haynes, PH.D, L.P.C., R.P.T.
- Mental Health Counselor
- Huntsville, TX
National Provider Identifier
1629097357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 17826
- Practice address
- 1 Financial PLZ Ste 230
Huntsville, TX 77340-3502 - Phone
- (936) 294-0660
- Fax
- (936) 294-0670
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 17826 | TX | Primary |
Addresses
Primary practice location
1 Financial PLZ Ste 230
Huntsville, TX 77340-3502
Mailing address
1 Financial PLZ Ste 230
Huntsville, TX 77340-3502
Phone (936) 294-0660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5373LC | Other | TX | BLUECROSSBLUE SHIELD |
| HAYNE-003 | Other | TX | CHIP |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17826 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629097357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FINANCIAL PLZ STE 230",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "773403502",
"telephone_number": "936-294-0660",
"fax_number": "936-294-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FINANCIAL PLZ STE 230",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "773403502",
"telephone_number": "936-294-0660",
"fax_number": "936-294-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "PATRICIA",
"middle_name": "ANN",
"credential": "PH.D, L.P.C., R.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "17826",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUE SHIELD",
"identifier": "5373LC",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIP",
"identifier": "HAYNE-003",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, TX
- Hilary Anne Harrison-Dunn, LCSW
- Hauser Orthotics & Prosthetics, Inc
- Alyssa Beth Hawkins
- Lawana Hayes
- Morgan Haynes, DDS
- Sherry June Haynes
- Health Brands Inc (At Your Side Home Care - Walker-Humble)
- Health Brands, Inc (At your side Home Care - Walker-Humble)
- Dalton David Heath, M.D.
- Heather Marie Hemann, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.