MS. NIKKI HAYNESWORTH LPC
NPI 1750864500
Counselor - Professional in Scottsdale, AZ

Q: 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.

Q: What is Nikki Haynesworth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Nikki Haynesworth was last updated on June 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 07, 2018PECOS EnrolledAccepts Medicare Assignment

7373 N SCOTTSDALE RD STE A199, SCOTTSDALE, AZ 85253(480) 524-0990 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 25, 2022, Oct 13, 2020, Sep 7, 2018 (3 updates tracked since 2018).

On this page

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

NPI1750864500

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. NIKKI HAYNESWORTHCredential: LPC

Location Address7373 N SCOTTSDALE RD STE A199Scottsdale, AZ 85253-3593

Mailing Address12621 N Tatum Blvd # 1629Phoenix, AZ 85032-7710

Phone(480) 524-0990

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 7, 2018

Last NPPES UpdateJune 25, 20263 updates tracked since enumeration

NPPES CertifiedJune 25, 2026

✔ NPI 1750864500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in AZ · LPC-21169

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 007895 (NY)

7373 N SCOTTSDALE RD STE A199, Scottsdale, AZ 85253

Open in Google Maps ↗

Secondary Practice Location 1

Location 14600 E Washington St Ste 300Phoenix, AZ 85034-1908 · Phone (602) 638-1872

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID547604910

PECOS Enrollment IDI20240214001545

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 12

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

MR. BRETT LEE LEIFSON APRN MSN PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)