Individual provider Active NPI

Kelsey James Hall

  • Occupational Therapist
  • Laurel, MS
National Provider Identifier
1003052564
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3183 Issued in MS
Practice address
2118 Sandy LN
Laurel, MS 39443-9087
Phone
(601) 342-2923
NPI assigned
Jan 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 112078 TX
Occupational Therapist 225X00000X 3183 MS Primary

Addresses

Primary practice location

2118 Sandy LN
Laurel, MS 39443-9087

Mailing address

530 Sharon Moss Rd
Laurel, MS 39443-0959
Phone (601) 498-5578

Other practice location 1

953 Doire Dr
Conroe, TX 77301-4136
Phone (601) 498-5578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3183MSMDMental Health Counselor
112078TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Hands Therapy LLC Occupational Therapist CurrentSince Apr 6, 2025 Accepting new patients
Insight Speech and Language Center, LLC PastSince Aug 14, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1003052564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 SHARON MOSS RD",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394430959",
            "telephone_number": "601-498-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 SANDY LN",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394439087",
            "telephone_number": "601-342-2923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "953 Doire Dr",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773014136",
            "country_code": "US",
            "telephone_number": "601-498-5578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "KELSEY",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "112078",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "3183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.