Hailey Brooke Reed, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-6601 Issued in ID

Practice address

210 E Center St Ste B
Pocatello, ID 83201-6352

Phone

(208) 234-2600

Fax

(208) 234-2800

NPI assigned

Nov 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Hailey Brooke Carr Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1174037600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E CENTER ST STE B",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016352",
            "telephone_number": "208-234-2600",
            "fax_number": "208-234-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E CENTER ST STE B",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016352",
            "telephone_number": "208-234-2600",
            "fax_number": "208-234-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "HAILEY",
        "middle_name": "BROOKE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-6601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAILEY",
            "last_name": "CARR",
            "middle_name": "BROOKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amie Michelle Reckon, M.D.
• Lee R. Reddish, D.D.S.
• Redford Counseling and Family Services
• Barry R. Redford, LCSW
• Gary Sean Redford, LPC, NCC
• James Erwin Reed III
• Karami Ann Reed
• Kenneth Blair Reed, DPT,PT
• Martin Joseph Reed, PHARMD
• Parker Reed

• Mental Health Counselor in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.