MR. JUDSON AUSTIN HAYNES
NPI 1346650298
Counselor - Mental Health in Port Townsend, WA

Active since April 30, 2014PECOS EnrolledAccepts Medicare Assignment
260 KALA POINT DR STE 102, PORT TOWNSEND, WA 98368(360) 698-5883(360) 809-6002 Get Directions Write a Review

NPPES record last updated: November 29, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Judson Austin Haynes NPPES

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

MR. JUDSON AUSTIN HAYNES (NPI 1346650298) is an individual mental health provider in Port Townsend, Washington, licensed in Washington (LH60531241) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Silverdale, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1346650298
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JUDSON AUSTIN HAYNES
Location Address260 KALA POINT DR STE 102Port Townsend, WA 98368-9530
Mailing Address3888 Nw Randall Way Ste 201Silverdale, WA 98383-7847 · (360) 698-5883 · Fax (360) 809-6002
Fax(360) 809-6002
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 30, 2014
Last NPPES UpdateNovember 29, 2024
NPPES CertifiedNovember 29, 2024
✔ NPI 1346650298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH60531241
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CP60211997 (WA)
260 KALA POINT DR STE 102, Port Townsend, WA 98368

Secondary Practice Location 1

Location 13888 NW Randall Way Ste 201Silverdale, WA 98383-7847 · Phone (360) 385-0321 · Fax (360) 379-5534

Other Identifiers 1

Medicaid2254794WA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Judson Austin Haynes is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698126704
PECOS Enrollment IDI20240112001161
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 Judson Haynes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
3888 NW RANDALL WAY STE 201
Silverdale, WA 98383
  • Reassigned Medicare billing, Washington enrollment
  • 12 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

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

Social Worker (Clinical)
260 KALA POINT DR STE 102
PORT TOWNSEND, WA 98368

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 Judson Haynes's NPI number?

The NPI number for Judson Haynes is 1346650298. It was assigned to this individual provider in the NPPES registry on April 30, 2014.

Where is Judson Haynes located?

Judson Haynes practices at 260 Kala Point Dr Ste 102, Port Townsend, WA 98368. The listed phone number is (360) 698-5883.

What is Judson Haynes's specialty?

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

Is Judson Haynes enrolled in Medicare?

Yes. Judson Haynes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Judson Haynes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Judson Haynes reassigns Medicare benefits to Mcs Counseling Group LLC (Silverdale, WA). 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 Judson Haynes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Judson Haynes accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Judson Haynes 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 Judson Haynes was last updated on November 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.