HALEY DARR
NPI 1093228686
Counselor - Mental Health in Fort Wayne, IN

Active since November 06, 2017PECOS Enrolled
4410 EXECUTIVE BLVD, FORT WAYNE, IN 46808(317) 452-6279 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 9, 2024, Nov 6, 2017 (2 updates tracked since 2017).

About Haley Darr NPPES

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

HALEY DARR (NPI 1093228686) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (39001755A) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1093228686
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHALEY DARR
Location Address4410 EXECUTIVE BLVDFort Wayne, IN 46808-1135
Mailing Address11401 Bluegrass PkwyLouisville, KY 40299-2349
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 6, 2017
Last NPPES UpdateApril 9, 20242 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
✔ NPI 1093228686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 39001755A
4410 EXECUTIVE BLVD, Fort Wayne, IN 46808

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haley Darr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163914011
PECOS Enrollment IDI20251226000409
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Haley Darr reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Indiana and Michigan enrollments
  • 417 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
4410 EXECUTIVE BLVD
FORT WAYNE, IN 46808
Behavior Technician
4410 EXECUTIVE BLVD
FORT WAYNE, IN 46808
Behavior Technician
4410 EXECUTIVE BLVD
FORT WAYNE, IN 46808
Behavior Technician
4410 EXECUTIVE BLVD
FORT WAYNE, IN 46808
Behavior Technician
4410 EXECUTIVE BLVD
FORT WAYNE, IN 46808
Behavior Technician
4410 EXECUTIVE BLVD
FORT WAYNE, IN 46808

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 Haley Darr's NPI number?

The NPI number for Haley Darr is 1093228686. It was assigned to this individual provider in the NPPES registry on November 6, 2017.

Where is Haley Darr located?

Haley Darr practices at 4410 Executive Blvd, Fort Wayne, IN 46808. The listed phone number is (317) 452-6279.

What is Haley Darr's specialty?

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

Is Haley Darr enrolled in Medicare?

Yes. Haley Darr is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Haley Darr's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haley Darr reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The 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 Haley Darr's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Haley Darr accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Cigna Healthcare and UnitedHealthcare list Haley Darr as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Haley Darr was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.