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HALEIGH E BOUSLOG
NPI 1558728345
Counselor - Mental Health in Clive, IA

Active since January 25, 2016Opted out of Medicare · through Apr 24, 2027
12345 UNIVERSITY AVE STE 310, CLIVE, IA 50325(515) 329-0213 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 12, 2021, Feb 23, 2017, Jan 25, 2016 (3 updates tracked since 2016).

About Haleigh E Bouslog NPPES

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

HALEIGH E BOUSLOG (NPI 1558728345) is an individual mental health provider in Clive, Iowa, licensed in Iowa (085210) and active in the NPI registry since January 2016. She has opted out of Medicare through April 24, 2027.

NPPES Registry Identity

NPI1558728345
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHALEIGH E BOUSLOG
Location Address12345 UNIVERSITY AVE STE 310Clive, IA 50325-8285
Mailing Address12345 University Ave Ste 310Clive, IA 50325-8285
Phone(515) 329-0213
Sole ProprietorNo
Enumeration DateJanuary 25, 2016
Last NPPES UpdateOctober 12, 20213 updates tracked since enumeration
NPPES CertifiedOctober 12, 2021
✔ NPI 1558728345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IA · 085210
Also ListedCounselorTaxonomy 101Y00000X
12345 UNIVERSITY AVE STE 310, Clive, IA 50325
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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

Haleigh E Bouslog 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 24, 2025 through April 24, 2027.

Opt-Out Effective DateApril 24, 2025
Opt-Out In Effect ThroughApril 24, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

HALEIGH BOUSLOG LMHC LLC
Counselor (Mental Health)
12345 UNIVERSITY AVE STE 310
CLIVE, IA 50325
Polk County (515) 329-0213

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 Haleigh Bouslog's NPI number?

The NPI number for Haleigh Bouslog is 1558728345. It was assigned to this individual provider in the NPPES registry on January 25, 2016.

Where is Haleigh Bouslog located?

Haleigh Bouslog practices at 12345 University Ave Ste 310, Clive, IA 50325. The listed phone number is (515) 329-0213.

What is Haleigh Bouslog's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Haleigh Bouslog enrolled in Medicare?

No. Haleigh Bouslog has opted out of Medicare through April 24, 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 Haleigh Bouslog was last updated on October 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.