Active NPI
Marlynn Rae Hall, LPC
- Professional Counselor
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC009370
- Practice address
- 1401 S 4TH St
Philadelphia, PA 19147-5948 - Phone
- (215) 339-1070
- NPI assigned
- Feb 7, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC009370 | PA | Primary |
Addresses
Primary practice location
1401 S 4TH St
Philadelphia, PA 19147-5948
Mailing address
1401 S 4TH St
Philadelphia, PA 19147-5948
Phone (215) 339-1070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2211 Congress St
A
Portland, ME 04102-1941
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC009370 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Philadelphia Health Action Inc. | Current | Accepting new patients | |
| Greater Philadelphia Health Action, Inc. | Current | Accepting new patients | |
| Greater Philadelphia Health Action Inc. | Current | Accepting new patients |
Locations
5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700
4510 Frankford Ave
Philadelphia, PA 19124
Phone (215) 744-1302
432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000
1401 S 4th St
Philadelphia, PA 19147
Phone (215) 339-1070
Networks
- devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
- OH PPO
- devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1205140902
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1689620171
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1275151607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1003354291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 S 4TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191475948",
"telephone_number": "215-339-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S 4TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191475948",
"telephone_number": "215-339-1070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "MARLYNN",
"middle_name": "RAE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-07",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC009370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.