Pauline Marie Hampton, LPHA, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

001030 Issued in IA

Practice address

1297 Holiday LN
Brooklyn, IA 52211-9537

Phone

(641) 990-1569

Fax

(641) 522-3125

NPI assigned

Mar 5, 2007

Last updated

Jan 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609545600000",
    "number": "1457480485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1297 HOLIDAY LN",
            "city": "BROOKLYN",
            "state": "IA",
            "postal_code": "522119537",
            "telephone_number": "641-990-1569",
            "fax_number": "641-522-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 HOLIDAY LN",
            "city": "BROOKLYN",
            "state": "IA",
            "postal_code": "522119537",
            "telephone_number": "641-990-1569",
            "fax_number": "641-522-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPTON",
        "first_name": "PAULINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPHA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001030",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IA",
            "license": "001030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "101199",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600676531",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12505168",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Brooklyn, IA
• Providers in Brooklyn, IA by specialty
• Professional Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; 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.