Individual provider Active NPI

Hailey Jorris, LPCC

  • Mental Health Counselor
  • Bismarck, ND
National Provider Identifier
1215658158
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1235-9-1-22-628 Issued in ND
Practice address
4205 State St Ste 5
Bismarck, ND 58503-0623
Phone
(701) 937-4695
Fax
(701) 248-9315
NPI assigned
Sep 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1235-9-1-22-628 ND Primary

Addresses

Primary practice location

4205 State St Ste 5
Bismarck, ND 58503-0623

Mailing address

4205 State St Ste 5
Bismarck, ND 58503-0623
Phone (701) 937-4695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 12, 2026 through Jan 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Wellness LLC CurrentSince Dec 7, 2025 Accepting new patients
Discovery Christian Counseling PastSince Sep 11, 2022 Accepting new patients
New Possibilities Mental Health PastSince Sep 11, 2022 Accepting new patients

Locations

4205 State St
Ste 5
Bismarck, ND 58503
Phone (701) 214-5530

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1215658158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 STATE ST STE 5",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030623",
            "telephone_number": "701-937-4695",
            "fax_number": "701-248-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 STATE ST STE 5",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030623",
            "telephone_number": "701-937-4695",
            "fax_number": "701-248-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORRIS",
        "first_name": "HAILEY",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "1235-9-1-22-628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.