Lyn Hall

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CI3076 Issued in NV

Practice address

100 Saint Judes St
Boulder City, NV 89005-1614

Phone

(702) 294-7188

NPI assigned

May 4, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Compassionate Heart Services LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1467112169
  Medicare reassignment NPD
• Beyond Wellness PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Henderson, NV
  • NPI 1730906637
  NPD (past)
• St. Jude'S Ranch for Children

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Boulder City, NV
  • NPI 1043377708
  NPD (past)
• St. Jude'S Ranch for Children

  • Community/Behavioral Health Agency
  • Boulder City, NV
  • NPI 1790089209
  NPD (past)

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786233600000",
    "number": "1013363480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SAINT JUDES ST",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890051614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SAINT JUDES ST",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890051614",
            "telephone_number": "702-294-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "LYN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-04",
        "last_updated": "2026-08-09",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CI3076",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CI3076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Goldston, COTA/L
• Gary Graves
• Francis Xavier Grealish
• Karen Sue Green
• Joann Gutschick, P.T.
• Marissa Hannah, OTA-3130
• Darnell Harrison
• Matthew Harrison
• Harry N. Pepe Jr. DO, PC
• Melissa Hart

• Professional Counselor in Boulder City, NV
• Providers in Boulder City, NV by specialty
• Professional Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.