MR. WILLIAM BURCH JR. HAYNES (M.ED.) – Professional Counselor, NPI 1194135129
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,998 MENTAL HEALTH COUNSELOR in VA
Provider Addresses for MR. WILLIAM BURCH JR. HAYNES (M.ED.)
613 CAMPUS DR STE 200
ABINGDON, VA 242109703
Phone: (276) 628-1186
Type: Location
PO BOX 1441
ABINGDON, VA 242121441
Phone: (276) 971-9715
Fax: (276) 739-7926
Type: Mailing
274 PARK ST SE # 1441
ABINGDON, VA 242103312
Phone: (276) 971-9715
Fax: (276) 739-7926
Type: Location
274 Park St SE # 1441
Abingdon, VA 242103312
Phone: (276) 971-9715
Fax: (276) 739-7926
Type: Location
611 Campus Dr Ste 200
Abingdon, VA 242109704
Phone: (276) 258-4920
Type: Location
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 376042192
Phone: (423) 952-2111
Fax: (423) 282-1657
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: 2024-11-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241112000473 | I | Mental Health Counselor | VA | TBD |
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.
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 24210)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| - | VA | |
| - | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | TN | |
| - | VA | |
| General Surgery | VA | |
| P S Y C H I A T R Y | VA | |
| General Surgery | VA | |
| Nurse Practitioner | VA |
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