Active NPI
Jennifer Geddes Hall, PHD, LPC, ACS, RPT
- Mental Health Counselor
- Spartanburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7293
- Practice address
- 101 N Pine St Ste 210
Spartanburg, SC 29302 - Phone
- (864) 808-0908
- Fax
- (864) 708-2020
- NPI assigned
- Feb 15, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8040 | SC | |
| Mental Health Counselor | 101YM0800X | 9587 | NC | |
| Mental Health Counselor | 101YM0800X | 7293 | SC | Primary |
Addresses
Primary practice location
101 N Pine St Ste 210
Spartanburg, SC 29302
Mailing address
6 N Orchard Farms Ave
Simpsonville, SC 29681-4866
Other practice location 1
609 S New Hope Rd Ste 200
Gastonia, NC 28054
Phone (704) 208-1865
Other practice location 2
609 S New Hope Rd Ste 200
Gastonia, NC 28054
Phone (704) 208-1865
Other practice location 3
3719 Latrobe Dr
Suite 830
Charlotte, NC 28211-4861
Phone (704) 806-7535
Other practice location 4
430 Woodruff Rd Ste 450
Greenville, SC 29607-3443
Phone (864) 400-5130
Other names 1
- Jennifer Lynn Geddes
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 |
|---|---|---|---|
| 9587 | NC | MD | Mental Health Counselor |
| 7293 | SC | MD | Mental Health Counselor |
| 8040 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upstate Ellie LLC | Mental Health | Past | Accepting new patients |
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": "1360886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1053651828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 N ORCHARD FARMS AVE",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296814866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N PINE ST STE 210",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "29302",
"telephone_number": "864-808-0908",
"fax_number": "864-708-2020"
}
],
"practiceLocations": [
{
"address_1": "609 S New Hope Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Gastonia",
"state": "NC",
"postal_code": "28054",
"country_code": "US",
"telephone_number": "704-208-1865",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "609 S New Hope Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Gastonia",
"state": "NC",
"postal_code": "28054",
"country_code": "US",
"telephone_number": "704-208-1865",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3719 Latrobe Dr",
"address_2": "Suite 830",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282114861",
"country_code": "US",
"telephone_number": "704-806-7535",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "430 Woodruff Rd Ste 450",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296073443",
"country_code": "US",
"telephone_number": "864-400-5130",
"fax_number": "864-818-4697",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "JENNIFER",
"middle_name": "GEDDES",
"name_prefix": "Dr.",
"credential": "PHD, LPC, ACS, RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-15",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "8040",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "9587",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "7293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "GEDDES",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.