Individual provider Active NPI

Haley Beaty

  • Marriage & Family Therapist
  • Wylie, TX
National Provider Identifier
1881473783
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
205241 Issued in TX
Practice address
303 S State Hwy 78
Wylie, TX 75098
Phone
(469) 342-3468
NPI assigned
Sep 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 205241 TX Primary

Addresses

Primary practice location

303 S State Hwy 78
Wylie, TX 75098

Mailing address

9701 Terra Lago CT Apt 504
Rowlett, TX 75089-1239

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260113003372 TX Practitioner - Marriage and Family Therapist 9931685583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

303 S Hwy 78
Suite 100
Wylie, TX 75098-3957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
205241TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CCNT Inc. CurrentSince Nov 7, 2025 Accepting new patients

Locations

720 E Park Blvd
Ste 204
Plano, TX 75074
Phone (469) 342-3468

303 S Highway 78
Wylie, TX 75098
Phone (469) 342-3468

303 S Highway 78
Ste 100
Wylie, TX 75098
Phone (469) 342-3468

303 S Highway 78
Ste 103
Wylie, TX 75098
Phone (469) 342-3468

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": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1881473783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 TERRA LAGO CT APT 504",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750891239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S STATE HWY 78",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098",
            "telephone_number": "469-342-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATY",
        "first_name": "HALEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "205241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

Verify at the official NPI Registry.