Active NPI
Haley Marie Hundley
- Addiction (Substance Use Disorder) Counselor
- Des Moines, IA
National Provider Identifier
1285464503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- T24050
- Practice address
- 505 5TH Ave Ste 600
Des Moines, IA 50309-2319 - Phone
- (515) 471-2358
- NPI assigned
- Aug 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | T24050 | IA | Primary |
Addresses
Primary practice location
505 5TH Ave Ste 600
Des Moines, IA 50309-2319
Mailing address
505 5TH Ave Ste 600
Des Moines, IA 50309-2319
Phone (515) 471-2358
Other names 1
- Haley Marie Pederson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T24050 | IA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Employee & Family Resources, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counselor
- Des Moines, IA
- NPI 1871592402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1285464503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 5TH AVE STE 600",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503092319",
"telephone_number": "515-471-2358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 5TH AVE STE 600",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503092319",
"telephone_number": "515-471-2358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNDLEY",
"first_name": "HALEY",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-02",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IA",
"license": "T24050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HALEY",
"last_name": "PEDERSON",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.