Angela Shatice Haynes, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-08184T Issued in AZ

Practice address

825 W Warner Rd # 1
Chandler, AZ 85225-2926

Phone

(480) 648-8183

NPI assigned

Jul 29, 2024

Last updated

Jul 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wholeheart Counseling LLC

  • Marriage & Family Therapist
  • Chandler, AZ
  • NPI 1750243135
  NPD

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1922837996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 N HARTFORD ST UNIT 1181",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852257308",
            "telephone_number": "510-302-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W WARNER RD # 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252926",
            "telephone_number": "480-648-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "ANGELA",
        "middle_name": "SHATICE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-08184T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Corinne Lipka Hawley, PA-C
• Kimberly A Hayden
• Berlin Hayes
• Nathan Hayes
• Paulette Hayes
• Nyeree Hazelton, FNP-BC
• Darren Wayne Hazen, N.M.D.
• Head 2 Toe Chiropractic and Healthcare Center PLLC
• Heal Az Counseling and Wellness Center PLLC
• Heal One Integrative Health

• Mental Health Counselor in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.