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HAILEY WOODSTROM
NPI 1205402278
Counselor - Professional in Saint Paul, MN

Active since June 01, 2021PECOS Enrolled
895 FULLER AVE, SAINT PAUL, MN 55104(218) 849-5511 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hailey Woodstrom NPPES

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

HAILEY WOODSTROM (NPI 1205402278) is an individual professional provider in Saint Paul, Minnesota, licensed in Minnesota (CC04616) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1205402278
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameHAILEY WOODSTROM
Location Address895 FULLER AVESaint Paul, MN 55104-4742
Mailing Address895 Fuller AveSaint Paul, MN 55104-4742 · (218) 849-5511
Phone(218) 849-5511
Sole ProprietorNo
Enumeration DateJune 1, 2021
Last NPPES UpdateApril 25, 2025
NPPES CertifiedApril 25, 2025
✔ NPI 1205402278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · CC04616
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
895 FULLER AVE, Saint Paul, MN 55104
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Secondary Practice Location 1

Location 15407 Excelsior Blvd Ste BMinneapolis, MN 55416-2932 · Phone (612) 787-2832

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hailey Woodstrom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Hailey Woodstrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Minnesota Center For Psychology, LLC
2.9 mi
Psychologist
2324 UNIVERSITY AVE W STE 120
Saint Paul, MN 55114
  • Reassigned Medicare billing, Minnesota enrollment
  • 27 clinicians in this Medicare group
NPI 1023258662 (952) 210-5137

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Woodstrom's NPI number?

The NPI number for Hailey Woodstrom is 1205402278. It was assigned to this individual provider in the NPPES registry on June 1, 2021.

Where is Hailey Woodstrom located?

Hailey Woodstrom practices at 895 Fuller Ave, Saint Paul, MN 55104. The listed phone number is (218) 849-5511.

What is Hailey Woodstrom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Hailey Woodstrom enrolled in Medicare?

Yes. Hailey Woodstrom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Hailey Woodstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hailey Woodstrom reassigns Medicare benefits to Minnesota Center For Psychology, LLC (Saint Paul, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hailey Woodstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hailey Woodstrom accept?

Health plans from HealthPartners list Hailey Woodstrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hailey Woodstrom was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.