Active NPI
Amy L Hall, PH.D
- Mental Health Counselor
- Daytona Beach, FL
National Provider Identifier
1003256363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH11141
- Practice address
- 1182 Pelican Bay Dr
Daytona Beach, FL 32119-1381 - Phone
- (386) 227-6456
- NPI assigned
- Jul 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH11141 | FL | Primary |
| School Counselor | 101YS0200X | FL |
Addresses
Primary practice location
1182 Pelican Bay Dr
Daytona Beach, FL 32119-1381
Mailing address
1182 Pelican Bay Dr
Daytona Beach, FL 32119-1381
Phone (386) 227-6456
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH11141 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372636800000",
"number": "1003256363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1182 PELICAN BAY DR",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321191381",
"telephone_number": "386-227-6456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1182 PELICAN BAY DR",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321191381",
"telephone_number": "386-227-6456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "AMY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-01",
"last_updated": "2013-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH11141",
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
- Halifax Hospital Medical Center (Halifax Hospital Medical Center Pharmacy)
- Halifax Hospital Medical Center (Halifax Medical Center)
- Halifax Pathology Associates PA
- Halifax Pathology Associates PA
- Halifax Pathology Associates PA
- Taylor Ann Hall
- Nicole Leigh Ann Hallberg, PA-C
- Danielle Haller, LMT, LE
- Deanna Lynn Halliday, COUNSELOR/THERAPIST
- Shravanti Rabindra Halpern, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.