Active NPI
Hailey Hause, AMFT
- Mental Health Counselor
- Long Beach, CA
National Provider Identifier
1972259000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 131163
- Practice address
- 3950 Long Beach Blvd Ste 101
Long Beach, CA 90807-5410 - Phone
- (562) 684-1300
- NPI assigned
- Feb 28, 2022
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 131163 | CA | Primary |
Addresses
Primary practice location
3950 Long Beach Blvd Ste 101
Long Beach, CA 90807-5410
Mailing address
5939 Fairman St
Lakewood, CA 90713-2908
Phone (562) 334-7112
Other practice location 1
5939 Fairman St
Lakewood, CA 90713-2908
Phone (562) 334-7112
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hhause@psychlab.us |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1972259000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5939 FAIRMAN ST",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907132908",
"telephone_number": "562-334-7112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 LONG BEACH BLVD STE 101",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908075410",
"telephone_number": "562-684-1300"
}
],
"practiceLocations": [
{
"address_1": "5939 Fairman St",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "CA",
"postal_code": "907132908",
"country_code": "US",
"telephone_number": "562-334-7112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAUSE",
"first_name": "HAILEY",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-28",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "131163",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hhause@psychlab.us",
"affiliation": "N",
"endpointDescription": "business email",
"address_1": "3950 Long Beach Blvd Ste 101",
"city": "Long Beach",
"state": "CA",
"country_code": "US",
"postal_code": "908075410",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.