Individual provider Active NPI

Shuida Haynes

  • Counselor
  • Dallas, TX
National Provider Identifier
1821643990
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
8915 Harry Hines Blvd
Dallas, TX 75235-1717
Phone
(985) 509-5262
NPI assigned
Aug 6, 2019
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

8915 Harry Hines Blvd
Dallas, TX 75235-1717

Mailing address

860 E River PL Ste 100
Jackson, MS 39202-3442
Phone (228) 897-7465

Other practice location 1

4700 Wichers Dr Ste 105
Marrero, LA 70072-3054
Phone (504) 383-7448 ext. 50438

Other practice location 2

302 Courthouse Rd Ste G
Gulfport, MS 39507-1890
Phone (228) 897-7465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1821643990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 E RIVER PL STE 100",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392023442",
            "telephone_number": "228-897-7465",
            "fax_number": "228-897-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752351717",
            "telephone_number": "985-509-5262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Wichers Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Marrero",
            "state": "LA",
            "postal_code": "700723054",
            "country_code": "US",
            "telephone_number": "504-383-7448 x50438",
            "fax_number": "504-383-7448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 Courthouse Rd Ste G",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395071890",
            "country_code": "US",
            "telephone_number": "228-897-7465",
            "fax_number": "228-897-7467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "SHUIDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2025-09-11",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.