Active NPI
Courtney Kiana Haynes, MH27091
- Mental Health Counselor
- Lake Mary, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 200 Waymont CT Ste 126
Lake Mary, FL 32746-3413 - Phone
- (407) 676-1954
- NPI assigned
- Aug 7, 2023
- 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 | Primary |
Addresses
Primary practice location
200 Waymont CT Ste 126
Lake Mary, FL 32746-3413
Mailing address
3415 W Lake Mary Blvd Unit 950460
Lake Mary, FL 32795-7520
Phone (904) 250-2436
Other practice location 1
310 Waymont Ct Ste 100
Lake Mary, FL 32746-3475
Phone (407) 635-1979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260519003391 | FL | Practitioner - Mental Health Counselor | 1254800212 | Practice locations: Lake Mary, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
188 E Crystal Lake Ave
Unit 138
Lake Mary, FL 32746-3204
310 Waymont CT
Suite 100 Lake Mary Counseling
Lake Mary, FL 32746-3475
Phone (407) 635-1979
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Mary Counseling | Mental Health | Current | Accepting new patients |
| LMC Debary LLC | Mental Health | Past | Accepting new patients |
Locations
310 Waymont Ct
Ste 100
Lake Mary, FL 32746
Phone (407) 416-3840
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Lake Mary, FL
- NPI 1932754561
-
- Mental Health Counselor
- Debary, FL
- NPI 1255295853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1689356792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415 W LAKE MARY BLVD UNIT 950460",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327957520",
"telephone_number": "904-250-2436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WAYMONT CT STE 126",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327463413",
"telephone_number": "407-676-1954"
}
],
"practiceLocations": [
{
"address_1": "310 Waymont Ct Ste 100",
"address_purpose": "LOCATION",
"city": "Lake Mary",
"state": "FL",
"postal_code": "327463475",
"country_code": "US",
"telephone_number": "407-635-1979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYNES",
"first_name": "COURTNEY",
"middle_name": "KIANA",
"credential": "MH27091",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-07",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.