COURTNEY KIANA HAYNES IMH 24252
NPI 1689356792
Counselor - Mental Health in Lake Mary, FL

Active since August 07, 2023PECOS Enrolled
310 WAYMONT CT STE 100, LAKE MARY, FL 32746(407) 635-1979 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Courtney Kiana Haynes Imh 24252 NPPES

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

COURTNEY KIANA HAYNES IMH 24252 (NPI 1689356792) is an individual mental health provider in Lake Mary, Florida and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1689356792
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCOURTNEY KIANA HAYNESCredential: IMH 24252
Location Address310 WAYMONT CT STE 100Lake Mary, FL 32746-3475
Mailing Address726 Centenary Loop Apt 200Lake Mary, FL 32746-1510 · (904) 250-2436
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 7, 2023
NPPES CertifiedAugust 7, 2023
NPI 1689356792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
310 WAYMONT CT STE 100, Lake Mary, FL 32746

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Courtney Kiana Haynes Imh 24252 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254800212
PECOS Enrollment IDI20260519003391
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.

Other Providers at the Same Location NPPES 8

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

Marriage & Family Therapist
310 WAYMONT CT STE 100
LAKE MARY, FL 32746
Social Worker (Clinical)
310 WAYMONT CT STE 100
LAKE MARY, FL 32746
Social Worker (Clinical)
310 WAYMONT CT STE 100
LAKE MARY, FL 32746
Counselor (Mental Health)
310 WAYMONT CT STE 100
LAKE MARY, FL 32746
Counselor (Mental Health)
310 WAYMONT CT STE 100
LAKE MARY, FL 32746
Counselor (Mental Health)
310 WAYMONT CT STE 100
LAKE MARY, FL 32746
Counselor (Mental Health)
310 WAYMONT CT STE 100
LAKE MARY, FL 32746
Counselor (Mental Health)
310 WAYMONT CT STE 100
LAKE MARY, FL 32746

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 Courtney Haynes's NPI number?

The NPI number for Courtney Haynes is 1689356792. It was assigned to this individual provider in the NPPES registry on August 7, 2023.

Where is Courtney Haynes located?

Courtney Haynes practices at 310 Waymont Ct Ste 100, Lake Mary, FL 32746. The listed phone number is (407) 635-1979.

What is Courtney Haynes's specialty?

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

Is Courtney Haynes enrolled in Medicare?

Yes. Courtney Haynes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Courtney Haynes was last updated on August 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.