Individual provider Active NPI

Lara J Hayes, M.ED., LPC

  • Mental Health Counselor
  • Senatobia, MS
National Provider Identifier
1992044754
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1850 Issued in MS
Practice address
1471 Highway 51 S
Senatobia, MS 38668
Phone
(662) 689-9281
NPI assigned
Feb 13, 2013
Last updated
Jun 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1850 MS Primary

Addresses

Primary practice location

1471 Highway 51 S
Senatobia, MS 38668

Mailing address

1471 Highway 51 S
Senatobia, MS 38668-7005
Phone (662) 689-9281

Other practice location 1

120 Randy Hendrix Dr
Batesville, MS 38606-7664
Phone (662) 563-9176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20240723001325 MS Practitioner - Mental Health Counselor 0345786612 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arise Hernando, LLCGroup PAC ID 5799136792, 5 clinicians

Practice addresses (Care Compare)

1288 Byhalia Rd
Suite 4
Hernando, MS 38632-6032
Phone (662) 912-9218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Arise Hernando, LLC CurrentSince Nov 23, 2024 Accepting new patients
Right Track Medical Group, Inc CurrentSince Jun 10, 2024 Accepting new patients
Precise Clinical Neuroscience Specialists Past Accepting new patients
Mississippi Center for Advanced Medicine, PC Past Accepting new patients

Locations

1288 Byhalia Rd
Ste 4
Hernando, MS 38632
Phone (662) 912-9218

1203 Medical Park Dr
Oxford, MS 38655
Phone (662) 513-4399

200 Highway 12 E
Starkville, MS 39759
Phone (662) 498-1900

4428 S Eason Blvd
Ste B
Tupelo, MS 38801

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1992044754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 HIGHWAY 51 S",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386687005",
            "telephone_number": "662-689-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 HIGHWAY 51 S",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "38668",
            "telephone_number": "662-689-9281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Randy Hendrix Dr",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "MS",
            "postal_code": "386067664",
            "country_code": "US",
            "telephone_number": "662-563-9176",
            "fax_number": "662-563-7384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYES",
        "first_name": "LARA",
        "middle_name": "J",
        "credential": "M.ED., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-13",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "1850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Senatobia, MS

Sources for this page

Verify at the official NPI Registry.