Active NPI
Tiffany M Haynes, LPC
- Mental Health Counselor
- Fairfax, VA
National Provider Identifier
1750859591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701012189
- Practice address
- 3025 Hamaker CT Ste 450
Fairfax, VA 22031-2237 - Phone
- (240) 800-5772
- NPI assigned
- Nov 9, 2018
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701012189 | VA | Primary |
| Mental Health Counselor | 101YM0800X | 16451 | FL | |
| Mental Health Counselor | 101YM0800X | LC12210 | MD |
Addresses
Primary practice location
3025 Hamaker CT Ste 450
Fairfax, VA 22031-2237
Mailing address
3025 Hamaker CT Ste 450
Fairfax, VA 22031-2237
Phone (240) 800-5772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16451 | FL | MD | Mental Health Counselor |
| 0701012189 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Social Service Agency | Current | Accepting new patients | |
| Jewish Social Service Agency | Current | Accepting new patients | |
| Daniel Memorial, Inc. | Past | Accepting new patients | |
| Daniel Memorial Inc | Past | Accepting new patients |
Locations
6123 Montrose Rd
Rockville, MD 20852
Phone (301) 838-4200
200 Wood Hill Rd
Rockville, MD 20850
Phone (240) 800-5772
3025 Hamaker Ct
Ste 450
Fairfax, VA 22031
Phone (240) 800-5772
Organizations & group practices 4
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.
-
- Psychologist
- Rockville, MD
- NPI 1174776900
-
- Community/Behavioral Health Agency
- Jacksonville, FL
- NPI 1316105091
-
- Community/Behavioral Health Agency
- Jacksonville, FL
- NPI 1346205861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1750859591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 HAMAKER CT STE 450",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312237",
"telephone_number": "240-800-5772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 HAMAKER CT STE 450",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312237",
"telephone_number": "240-800-5772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "TIFFANY",
"middle_name": "M",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-09",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701012189",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "16451",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC12210",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.