Individual provider Active NPI

Haley Giles, LCMHC

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1780455519
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
19545 Issued in NC
Practice address
2931 Breezewood Ave Ste 104
Fayetteville, NC 28303-5281
Phone
(910) 491-1134
Fax
(910) 491-1332
NPI assigned
Jan 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 19545 NC Primary

Addresses

Primary practice location

2931 Breezewood Ave Ste 104
Fayetteville, NC 28303-5281

Mailing address

540 Forsythe St
Fayetteville, NC 28304-3765
Phone (910) 750-2048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260403001483 NC Practitioner - Mental Health Counselor 4981189230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert C Pennebaker PLLCGroup PAC ID 3870802010, 11 clinicians

Practice addresses (Care Compare)

2931 Breezewood Ave
Suite 104
Fayetteville, NC 28303-5281
Phone (910) 491-1134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19545NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Robert C. Pennebaker PLLC Single Specialty CurrentSince Jan 14, 2024 Accepting new patients

Locations

2931 Breezewood Ave
Ste 104
Fayetteville, NC 28303
Phone (910) 491-1134

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1780455519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 FORSYTHE ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043765",
            "telephone_number": "910-750-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 BREEZEWOOD AVE STE 104",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035281",
            "telephone_number": "910-491-1134",
            "fax_number": "910-491-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILES",
        "first_name": "HALEY",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "19545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.