Individual provider Active NPI

Hailey Palos, LMFT 153927

  • Marriage & Family Therapist
  • Roseville, CA
National Provider Identifier
1013791045
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
153927 Issued in CA
Practice address
2200 Douglas Blvd Ste 140B
Roseville, CA 95661-4292
Phone
(916) 272-5025
NPI assigned
Aug 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 14278341-3902 UT
Marriage & Family Therapist 106H00000X 153927 CA Primary

Addresses

Primary practice location

2200 Douglas Blvd Ste 140B
Roseville, CA 95661-4292

Mailing address

2200 Douglas Blvd Ste 140B
Roseville, CA 95661-4292
Phone (916) 272-5025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 3, 2025 through Apr 3, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
153927CAMDMarriage & Family Therapist
14278341-3902UTMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1013791045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 DOUGLAS BLVD STE 140B",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614292",
            "telephone_number": "916-272-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 DOUGLAS BLVD STE 140B",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614292",
            "telephone_number": "916-272-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOS",
        "first_name": "HAILEY",
        "credential": "LMFT 153927",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "14278341-3902",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "153927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.