Amy Colleen Hayes, MA, NCC, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1640 Issued in MN

Practice address

4897 Miller Trunk Hwy Ste 221
Hermantown, MN 55811-1936

Phone

(218) 319-7171

NPI assigned

May 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda C O'Bryan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cedar Branch Counseling Group, PLLC

  • Marriage & Family Therapist
  • International Falls, MN
  • NPI 1912497348

  Professional

  NPD (past)

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

{
    "created_epoch": "1558742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558742400000",
    "number": "1215594197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4897 MILLER TRUNK HWY STE 221",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558111936",
            "telephone_number": "218-319-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4897 MILLER TRUNK HWY STE 221",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558111936",
            "telephone_number": "218-319-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "AMY",
        "middle_name": "COLLEEN",
        "credential": "MA, NCC, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-25",
        "last_updated": "2019-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "O'BRYAN",
            "middle_name": "C",
            "credential": "MA, NCC, LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Haille Frances Harrington
• Pamela P Harrington, DDS MS
• Shelby Marie Harris, BA
• Jodi Hart
• Karissa Ann Haugen, PMHNP-BC
• Casey Headlee, OT
• Emily Joanne Helgeson, PT,DPT,CLT
• Anne Katherine Hendricks
• Her and Man Town Dental PLLC
• Lauren Herbert

• Professional Counselor in Hermantown, MN
• Providers in Hermantown, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2019; 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.