Individual provider Active NPI

Hailey Nicole Cross I

  • Professional Counselor
  • Sacramento, CA
National Provider Identifier
1679060396
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18329 Issued in CA
Practice address
9343 Tech Center Dr Ste 110
Sacramento, CA 95826-2592
Phone
(408) 465-8280
NPI assigned
Apr 18, 2018
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU
Professional Counselor 101YP2500X 18329 CA Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

9343 Tech Center Dr Ste 110
Sacramento, CA 95826-2592

Mailing address

18225 Hale Ave
Morgan Hill, CA 95037-3547
Phone (408) 465-8280

Other practice location 1

18217 Hale Ave
Morgan Hill, CA 95037-3550
Phone (408) 465-8280

Other practice location 2

4604A Roosevelt Ave
Sacramento, CA 95820-4520
Phone (916) 457-3129

Other practice location 3

215 Huerta Ave
Greenfield, CA 93927-5762
Phone (831) 674-2180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250409002101 CA Practitioner - Mental Health Counselor 4688198880 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18329CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Psynergy Programs, Inc. CurrentSince Dec 30, 2024 Accepting new patients
County of Tulare Current Accepting new patients
County of Tulare CurrentSince Feb 1, 2025 Accepting new patients
Psynergy Programs, Inc. CurrentSince Dec 30, 2024 Accepting new patients
County of Tulare CurrentSince Feb 1, 2025 Accepting new patients
Psynergy Programs Inc. Current Accepting new patients
County of Solano Past Accepting new patients

Locations

215 Huerta Ave
Greenfield, CA 93927
Phone (707) 439-7830

18225 Hale Ave
Morgan Hill, CA 95037
Phone (408) 762-7022

1055 W Henderson Ave
Porterville, CA 93257
Phone (559) 788-1200

9343 Tech Center Dr
Ste 110
Sacramento, CA 95826
Phone (916) 379-5876

520 E Tulare Ave
Visalia, CA 93292

5957 S Mooney Blvd
Visalia, CA 93277
Phone (559) 624-8000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1679060396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18225 HALE AVE",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950373547",
            "telephone_number": "408-465-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9343 TECH CENTER DR STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262592",
            "telephone_number": "408-465-8280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18217 Hale Ave",
            "address_purpose": "LOCATION",
            "city": "Morgan Hill",
            "state": "CA",
            "postal_code": "950373550",
            "country_code": "US",
            "telephone_number": "408-465-8280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4604A Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958204520",
            "country_code": "US",
            "telephone_number": "916-457-3129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Huerta Ave",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "CA",
            "postal_code": "939275762",
            "country_code": "US",
            "telephone_number": "831-674-2180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSS",
        "first_name": "HAILEY",
        "middle_name": "NICOLE",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "18329",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.