Individual provider Active NPI

Adrian Walker Hall, MFT

  • Marriage & Family Therapist
  • Manhattan Beach, CA
National Provider Identifier
1063545697
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
47110 Issued in CA
Practice address
2100 N Sepulveda Blvd
#27
Manhattan Beach, CA 90266-2948
Phone
(310) 218-7518
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 47110 CA Primary

Addresses

Primary practice location

2100 N Sepulveda Blvd
#27
Manhattan Beach, CA 90266-2948

Mailing address

2100 N Sepulveda Blvd
#27
Manhattan Beach, CA 90266-2948
Phone (310) 218-7518

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

State licenses

LicenseStateTypeSpecialty
47110CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
One Heart Counseling Center Marriage & Family Therapist Current Accepting new patients

Locations

2100 N Sepulveda Blvd
Ste 27
Manhattan Beach, CA 90266
Phone (310) 218-7518

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1063545697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N SEPULVEDA BLVD",
            "address_2": "#27",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662948",
            "telephone_number": "310-218-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N SEPULVEDA BLVD",
            "address_2": "#27",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662948",
            "telephone_number": "310-218-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ADRIAN",
        "middle_name": "WALKER",
        "name_prefix": "Miss",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "47110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.