Haleigh E Bouslog

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

085210 Issued in IA

Practice address

12345 University Ave Ste 310
Clive, IA 50325-8285

Phone

(515) 329-0213

NPI assigned

Jan 25, 2016

Last updated

Oct 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 24, 2025 through Apr 24, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Haleigh Bouslog LMHC LLC

  • Mental Health Counselor
  • Clive, IA
  • NPI 1780571224
  NPD Authorized official

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1558728345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12345 UNIVERSITY AVE STE 310",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12345 UNIVERSITY AVE STE 310",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258285",
            "telephone_number": "515-329-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUSLOG",
        "first_name": "HALEIGH",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "085210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betsy Jo Bolton, PA-C
• Diana Bonus, MS, LMHC
• Abbey Elizabeth Bos, DPT
• Megan Bosak Duff
• Kaitlyn Bottorff, DC
• Emily Bowers, ARNP
• Brady Bird & Associates LLC (Bird Chiropractic and Wellness)
• Jeffrey Alan Brannen, DO
• Samantha Breakbill, ARNP
• Gary Bremen, DO

• Mental Health Counselor in Clive, IA
• Providers in Clive, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.