PRESTON HAYNES – Marriage & Family Therapist, NPI 1902277262

PRESTON HAYNES is a healthcare provider. based in Houston, Texas. specializing in MARRIAGE AND FAMILY THERAPIST. They hold a License No. 202426 (TX). The NPI Number for PRESTON HAYNES is 1902277262

Main info

Male
12 Years Of Experience
Name
PRESTON HAYNES
NPI
1902277262
Phone
(281) 480-7554
Address
17555 EL CAMINO REAL
Enumeration Date
13 October 2015
Last Update Date
12 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2814807554
Graduation Year
2014 (12 years ago)
PAC ID
8325488984
Group Practice PAC ID
8325274152
Professional Enrollment ID
I20240430000536
Address ID
TX770582015HO16441BLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

259 MARRIAGE AND FAMILY THERAPIST in TX

Provider Addresses for PRESTON HAYNES

  • 17555 EL CAMINO REAL

    HOUSTON, TX 770583031

    Phone: (281) 480-7554

    Fax: (281) 480-4641

    Type: Mailing

  • 16441 SPACE CENTER BLVD STE C-100

    HOUSTON, TX 770582015

    Phone: (281) 480-7554

    Fax: (281) 480-4641

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240430000536IMarriage And Family TherapistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77058)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325274152View full group profile
NameSpecialtyState
Clinical Social WorkerTX
Clinical Social WorkerTX
Mental Health CounselorTX
Mental Health CounselorTX
Clinical Social WorkerTX
Clinical PsychologistTX
Mental Health CounselorTX
Clinical PsychologistTX
Clinical PsychologistTX
Mental Health CounselorTX

Reviews

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Frequently asked questions

Can I cross-check PRESTON HAYNES using NPI 1902277262?
NPI 1902277262 belongs to PRESTON HAYNES; compare other details if you need extra assurance.
Active or inactive — what applies to PRESTON HAYNES?
You should see PRESTON HAYNES as active in CMS-hosted NPPES data.
What clinical focus is listed for PRESTON HAYNES?
At a glance, PRESTON HAYNES is tied to Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Is PRESTON HAYNES located near Houston?
PRESTON HAYNES currently maps to Houston, Texas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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