Active NPI
Kenyon Paul Haney, LPC
- Professional Counselor
- Lubbock, TX
National Provider Identifier
1740795327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 74222
- Practice address
- 6908 Avenue U
Lubbock, TX 79412-3840 - Phone
- (806) 236-1832
- NPI assigned
- Dec 5, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 74222 | TX | Primary |
Addresses
Primary practice location
6908 Avenue U
Lubbock, TX 79412-3840
Mailing address
6908 Avenue U
Lubbock, TX 79412-3840
Phone (806) 236-1832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20240206001061 | TX | Practitioner - Mental Health Counselor | 3678916764 | Practice locations: Amarillo, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1740795327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6908 AVENUE U",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794123840",
"telephone_number": "806-236-1832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6908 AVENUE U",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794123840",
"telephone_number": "806-236-1832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANEY",
"first_name": "KENYON",
"middle_name": "PAUL",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-05",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "74222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.