Chanda V Haynes, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C6181 Issued in OR

Practice address

2333 Lindsey Dr
Louisville, KY 40216-2937

Phone

(502) 807-3229

Fax

(502) 448-8760

NPI assigned

Aug 20, 2011

Last updated

Jun 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1313798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1659651784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 NE OVERLOOK DR APT 931",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247651",
            "telephone_number": "971-270-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 LINDSEY DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402162937",
            "telephone_number": "502-807-3229",
            "fax_number": "502-448-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "CHANDA",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-20",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C6181",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005650",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Hayes, RBT
• Nicole Hayes
• Patrick R Hayes, PTA
• Tavares Pleshette Hayes
• Carrie Lynn Haynes, PTA
• Elaura Marie Haynes, CNM
• Emalee Haynes, PHARMD
• Jennifer Haynes, APRN
• Susan Haynes, MS, OTR/L
• Taylor Olivia Haynes, LCSW

• Mental Health Counselor in Louisville, KY
• Providers in Louisville, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.