MS. NIKKI HAYNESWORTH LPC
NPI 1750864500
Counselor - Professional in Scottsdale, AZ
About Ms. Nikki Haynesworth Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. NIKKI HAYNESWORTH LPC (NPI 1750864500) is an individual professional provider in Scottsdale, Arizona, licensed in Arizona (LPC-21169) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Ms. Nikki Haynesworth Lpc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nikki Haynesworth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Scottsdale, AZ 85253
- Reassigned Medicare billing, Arizona enrollment
- 26 clinicians in this Medicare group
San Francisco, CA 94131
- Reassigned Medicare billing, Arizona enrollment
- Medicare enrollment name: Brightside Medical PA
- 31 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SCOTTSDALE, AZ 85253
SCOTTSDALE, AZ 85253
SCOTTSDALE, AZ 85253
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 Nikki Haynesworth's NPI number?
The NPI number for Nikki Haynesworth is 1750864500. It was assigned to this individual provider in the NPPES registry on September 7, 2018.
Where is Nikki Haynesworth located?
Nikki Haynesworth practices at 7373 N Scottsdale Rd Ste A199, Scottsdale, AZ 85253. The listed phone number is (480) 524-0990.
What is Nikki Haynesworth's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Nikki Haynesworth enrolled in Medicare?
Yes. Nikki Haynesworth 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 organizations bill Medicare for Nikki Haynesworth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nikki Haynesworth reassigns Medicare benefits to 2 organizations: Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ) and Brightside Medical, P.A. (San Francisco, CA). Each 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 Nikki Haynesworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nikki Haynesworth accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Nikki Haynesworth 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 Nikki Haynesworth was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ms. Nikki Haynesworth, LPC · NPI 1750864500
Professional provider in Scottsdale, Arizona. Individual provider, active in the CMS NPPES registry since September 7, 2018.
## Identity
- **NPI:** 1750864500 (Entity type: Individual)
- **Enumerated:** September 7, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC-21169 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7373 N SCOTTSDALE RD STE A199, Scottsdale, AZ 85253-3593
- **Phone:** (480) 524-0990
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Pacific Coast Psychiatric Associates Inc (NPI 1023125465, Scottsdale, AZ); Brightside Medical, P.A. (NPI 1609335660, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** June 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1750864500) · Data from the CMS NPPES public registry.