Preston Haynes

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

202426 Issued in TX

Practice address

16441 Space Center Blvd Ste C-100
Houston, TX 77058-2015

Phone

(281) 480-7554

Fax

(281) 480-4641

NPI assigned

Oct 13, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Marriage and Family Therapist

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Carole and Ronald Krist Samaritan Counseling CenterGroup PAC ID 8325274152, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Carole and Ronald Krist Samaritan Counseling Center

  • Counseling Psychologist
  • Houston, TX
  • NPI 1689690083

  Marriage & Family Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1902277262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16441 SPACE CENTER BLVD STE C-100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582015",
            "telephone_number": "281-480-7554",
            "fax_number": "281-480-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16441 SPACE CENTER BLVD STE C-100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582015",
            "telephone_number": "281-480-7554",
            "fax_number": "281-480-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "PRESTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-13",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmie C Haynes, RPH
• Leah Haynes
• Marilyn Haynes
• Matthew Haynes
• Melinda Marie Haynes, LPCC
• Reginald Anthony Haynes, ACNP-BC
• Richard Justis Haynes, MD
• Staci Delane Haynes, COTA/L
• Tandra Renette Haynes, M.ED.
• Tiffany Haynes

• Marriage & Family Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.