Individual provider Active NPI

Hailey Hause, AMFT

  • Mental Health Counselor
  • Long Beach, CA
National Provider Identifier
1972259000
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
131163 Issued in CA
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

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

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

Verify at the official NPI Registry.