Active NPI
Hailey Robertson, LPC, NCC
- Professional Counselor
- Palmer, AK
National Provider Identifier
1760032486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 209628
- Practice address
- 720 E Evergreen Ave
Palmer, AK 99645-6671 - Phone
- (907) 729-5020
- NPI assigned
- Sep 14, 2019
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 209628 | AK | Primary |
Addresses
Primary practice location
720 E Evergreen Ave
Palmer, AK 99645-6671
Mailing address
720 E Evergreen Ave
Palmer, AK 99645-6671
Phone (907) 414-2172
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 |
|---|---|---|---|
| 209628 | AK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1760032486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 E EVERGREEN AVE",
"city": "PALMER",
"state": "AK",
"postal_code": "996456671",
"telephone_number": "907-414-2172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 E EVERGREEN AVE",
"city": "PALMER",
"state": "AK",
"postal_code": "996456671",
"telephone_number": "907-729-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "HAILEY",
"name_prefix": "Mrs.",
"credential": "LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-14",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "209628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.