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JOSHUA JAY HAYNES
NPI 1376174003
Peer Specialist in Coos Bay, OR

Active since January 31, 2020
155 S EMPIRE BLVD, COOS BAY, OR 97420(541) 256-4687 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Joshua Jay Haynes NPPES

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

JOSHUA JAY HAYNES (NPI 1376174003) is an individual peer specialist in Coos Bay, Oregon, licensed in Oregon (20-CRM-012) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1376174003
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJOSHUA JAY HAYNES
Location Address155 S EMPIRE BLVDCoos Bay, OR 97420-3374
Mailing Address1942 Sheridan AveNorth Bend, OR 97459-3416 · (541) 256-4687 · Fax (541) 756-2111
Phone(541) 256-4687
Sole ProprietorNo
Enumeration DateJanuary 31, 2020
✔ NPI 1376174003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 20-CRM-012
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
155 S EMPIRE BLVD, Coos Bay, OR 97420
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Other Providers at the Same Location NPPES 20

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

SARAH SUSAN TUCKER CRM
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 756-3111
JASON ALLEN PAUL PSS, CRM
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 756-3111
WILLIAM TODD STONE CRM
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 756-3111
KASSIE LIBBETT
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 796-8437
KELLY MARIE HERZOG
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 756-3111
TASHA ANNE WALTER CADC 1, CRM, PSS
Counselor (Addiction (Substance Use Disorder))
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 756-3111
REBECCA JEAN ALLDRIDGE
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 500-6223
RONNI WALTZ PSS
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 756-3111

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 Joshua Haynes's NPI number?

The NPI number for Joshua Haynes is 1376174003. It was assigned to this individual provider in the NPPES registry on January 31, 2020.

Where is Joshua Haynes located?

Joshua Haynes practices at 155 S Empire Blvd, Coos Bay, OR 97420. The listed phone number is (541) 256-4687.

What is Joshua Haynes's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Joshua Haynes was last updated on January 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.