Individual provider Active NPI

Jennifer Geddes Hall, PHD, LPC, ACS, RPT

  • Mental Health Counselor
  • Spartanburg, SC
National Provider Identifier
1053651828
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7293 Issued in SC
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

Updated by the provider on May 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
9587NCMDMental Health Counselor
7293SCMDMental Health Counselor
8040SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.