Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HAYSTACK HEALTH AND WELLNESS LLC
NPI 1043002025
Counselor - Mental Health in Glen Arm, MD

Active since May 19, 2025
5630 SHARON DR, GLEN ARM, MD 21057(443) 499-2615 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 26, 2025, May 19, 2025 (2 updates tracked since 2025).

About Haystack Health And Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAYSTACK HEALTH AND WELLNESS LLC (NPI 1043002025) is a healthcare organization registered as a mental health in Glen Arm, Maryland and active in the NPI registry since May 2025. The organization lists Connor Bayley, Owner, Lcpc, as its authorized official.

NPPES Registry Identity

NPI1043002025
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameHAYSTACK HEALTH AND WELLNESS LLC
Location Address5630 SHARON DRGlen Arm, MD 21057-9359
Mailing Address5630 Sharon DrGlen Arm, MD 21057-9359 · (410) 205-5281
Organization SubpartNo
Authorized OfficialConnor BayleyOwner, Lcpc · (410) 205-5281
Enumeration DateMay 19, 2025
Last NPPES UpdateOctober 21, 20262 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1043002025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5630 SHARON DR, Glen Arm, MD 21057

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haystack Health And Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Haystack Health And Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1710555305
11350 MCCORMICK RD STE 800
Hunt Valley, MD 21031
(410) 800-2169
✔ PECOS✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Haystack Health And Wellness LLC's NPI number?

The NPI number for Haystack Health And Wellness LLC is 1043002025. It was assigned to this organization in the NPPES registry on May 19, 2025.

Where is Haystack Health And Wellness LLC located?

Haystack Health And Wellness LLC is located at 5630 Sharon Dr, Glen Arm, MD 21057. The listed phone number is (443) 499-2615.

What is Haystack Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Haystack Health And Wellness LLC enrolled in Medicare?

Yes. Haystack Health And Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Haystack Health And Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Haystack Health And Wellness LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Haystack Health And Wellness LLC was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.