Jordan Haynes
Counselor in Knoxville, TN. Individual provider (NPI-1).
NPI number1649645136
StatusActive
Last updated in NPPESFeb 13, 2025
Details
- NPI
- 1649645136
- Entity type
- Individual (NPI-1)
- Name
- Jordan Haynes
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 9, 2015
- Certification date
- Feb 13, 2025
- Last updated
- Feb 13, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
318 N Forest Park BlvdKnoxville, TN 37919-5127
Phone 865-263-2200 · Fax 865-263-2300
Mailing address
318 N Forest Park BlvdKnoxville, TN 37919-5127
Phone 652-632-2200 · Fax 865-263-2300
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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