Individual provider Active NPI

Kolton Garrett Hall, MA, LPC, NCC

  • Professional Counselor
  • Sherman, TX
National Provider Identifier
1023619491
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
81242 Issued in TX
Practice address
1800 Teague Dr Ste 508
Sherman, TX 75090-2656
Phone
(903) 265-8113
NPI assigned
Nov 3, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 81242 TX Primary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 81242 TX

Addresses

Primary practice location

1800 Teague Dr Ste 508
Sherman, TX 75090-2656

Mailing address

1704 Northbrook LN
Sherman, TX 75092-6020

Other practice location 1

315 W McLain Dr
Sherman, TX 75092-2605
Phone (903) 957-4701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
81242TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Texoma Community Center Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

315 W McLain Dr
Sherman, TX 75092
Phone (903) 957-4701

Organizations & group practices 1

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": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1023619491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 NORTHBROOK LN",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750926020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 TEAGUE DR STE 508",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902656",
            "telephone_number": "903-265-8113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 W McLain Dr",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "TX",
            "postal_code": "750922605",
            "country_code": "US",
            "telephone_number": "903-957-4701",
            "fax_number": "903-957-3416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "KOLTON",
        "middle_name": "GARRETT",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-03",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81242",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "81242",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.