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HAILEY PALOS LMFT 153927
NPI 1013791045
Marriage & Family Therapist in Roseville, CA

Active since August 21, 2023Opted out of Medicare · through Apr 3, 2027
2200 DOUGLAS BLVD STE 140B, ROSEVILLE, CA 95661(916) 272-5025 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 16, 2026, Apr 2, 2025, Aug 21, 2023 (3 updates tracked since 2023).

About Hailey Palos Lmft 153927 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAILEY PALOS LMFT 153927 (NPI 1013791045) is an individual marriage & family therapist in Roseville, California, licensed in California (153927) and active in the NPI registry since August 2023. She has opted out of Medicare through April 3, 2027.

NPPES Registry Identity

NPI1013791045
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameHAILEY PALOSCredential: LMFT 153927
Location Address2200 DOUGLAS BLVD STE 140BRoseville, CA 95661-4292
Mailing Address2200 Douglas Blvd Ste 140bRoseville, CA 95661-4292 · (916) 272-5025
Phone(916) 272-5025
Sole ProprietorYes
Enumeration DateAugust 21, 2023
Last NPPES UpdateApril 16, 20263 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1013791045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · 153927✔ Licensed in UT · 14278341-3902
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
2200 DOUGLAS BLVD STE 140B, Roseville, CA 95661
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Hailey Palos Lmft 153927 has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 3, 2025 through April 3, 2027.

Opt-Out Effective DateApril 3, 2025
Opt-Out In Effect ThroughApril 3, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COURTNEY MICKLES LMFT
Marriage & Family Therapist
2200 DOUGLAS BLVD STE 140B
ROSEVILLE, CA 95661
Placer County (720) 272-7848
MRS. REBEKAH LEAH HESSE MA, AMFT
Marriage & Family Therapist
2200 DOUGLAS BLVD STE 140B
ROSEVILLE, CA 95661
Placer County (916) 301-3057
BRIANDA DECASTRO LMFT
Marriage & Family Therapist
2200 DOUGLAS BLVD STE 140B
ROSEVILLE, CA 95661
Placer County (808) 381-0532

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hailey Palos's NPI number?

The NPI number for Hailey Palos is 1013791045. It was assigned to this individual provider in the NPPES registry on August 21, 2023.

Where is Hailey Palos located?

Hailey Palos practices at 2200 Douglas Blvd Ste 140B, Roseville, CA 95661. The listed phone number is (916) 272-5025.

What is Hailey Palos's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Hailey Palos enrolled in Medicare?

No. Hailey Palos has opted out of Medicare through April 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Hailey Palos was last updated on April 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.