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THE PHOENIX COUNSELING CENTER
NPI 1124735485
Community/Behavioral Health in Farmington, NM

Active since November 04, 2022
1200 W APACHE ST, FARMINGTON, NM 87401(505) 258-2763(505) 675-2803 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 1, 2023, Jan 30, 2023, Jan 20, 2023 and 1 more (4 updates tracked since 2022).

About The Phoenix Counseling Center NPPES

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

THE PHOENIX COUNSELING CENTER (NPI 1124735485) is a healthcare organization registered as a community/behavioral health in Farmington, New Mexico and active in the NPI registry since November 2022. The organization lists Kimberly Ann Haynie, Owner, as its authorized official.

NPPES Registry Identity

NPI1124735485
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameHAYNIE, INC
Location Address1200 W APACHE STFarmington, NM 87401-3886
Mailing Address1200 W Apache StFarmington, NM 87401-3886 · (505) 258-2763 · Fax (505) 675-2803
Phone(505) 258-2763
Fax(505) 675-2803
Organization SubpartYes
Authorized OfficialKimberly Ann HaynieOwner · (505) 258-2763
Enumeration DateNovember 4, 2022
Last NPPES UpdateNovember 1, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2023
✔ NPI 1124735485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1200 W APACHE ST, Farmington, NM 87401
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Other Names 1

Doing Business AsThe Phoenix Counseling Center

Other Identifiers 1

Medicaid32255705NM

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Phoenix Counseling Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to The Phoenix Counseling Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Kimberly Haynie, LCSW
Clinical Social Worker
NPI 1942758461
1200 W APACHE ST
Farmington, NM 87401
(505) 258-2763
✔ PECOS✔ Accepts MedicareSame address
Melissa Tarazon, LADAC
Mental Health Counselor
NPI 1245574136
1200 W APACHE ST
Farmington, NM 87401
(505) 258-2763
✔ PECOSSame address

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 Haynie, Inc's NPI number?

The NPI number for Haynie, Inc is 1124735485. It was assigned to this organization in the NPPES registry on November 4, 2022. The provider is doing business as The Phoenix Counseling Center.

Where is Haynie, Inc located?

Haynie, Inc is located at 1200 W Apache St, Farmington, NM 87401. The listed phone number is (505) 258-2763.

What is Haynie, Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Haynie, Inc enrolled in Medicare?

Yes. Haynie, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Haynie, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Haynie, Inc, in Clinical Social Worker and Mental Health Counselor. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Haynie, Inc was last updated on November 1, 2023. 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.