Active NPI
Jennie Antoinette Miele-Hall, LADC, LCAS
- Addiction (Substance Use Disorder) Counselor
- New Haven, CT
National Provider Identifier
1114682127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 001608
- Practice address
- 149 Minor St
New Haven, CT 06519-1623 - Phone
- (203) 503-3350
- NPI assigned
- Nov 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 001608 | CT | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-28685 | NC |
Addresses
Primary practice location
149 Minor St
New Haven, CT 06519-1623
Mailing address
246 Seaside Ave
Stamford, CT 06902-5466
Other names 1
- Jennie Hall
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001608 | CT | MD | Addiction (Substance Use Disorder) Counselor |
| LCAS-28685 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goldsboro CTC | Current | Accepting new patients | |
| Cornell Scott Hill Health Corporation | Past | Accepting new patients | |
| Ats of North Carolina, LLC | Past | Accepting new patients | |
| Cornell Scott Hill Health Corporation | Past | Accepting new patients |
Locations
1700 E Ash St
Ste 201
Goldsboro, NC 27530
Phone (919) 583-9329
Organizations & group practices 4
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.
-
- Informatics Clinical Nurse Specialist
- Goldsboro, NC
- NPI 1376239590
-
- Federally Qualified Health Center (FQHC)
- New Haven, CT
- NPI 1902921380
-
- Multi-Specialty Clinic/Center
- New Haven, CT
- NPI 1962477968
-
- Methadone Clinic
- Shelby, NC
- NPI 1609551688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1114682127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 SEASIDE AVE",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069025466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 MINOR ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191623",
"telephone_number": "203-503-3350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIELE-HALL",
"first_name": "JENNIE",
"middle_name": "ANTOINETTE",
"credential": "LADC, LCAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-04",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "001608",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-28685",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIE",
"last_name": "HALL",
"credential": "LADC, LCAS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.