Individual provider Active NPI

Jennie Antoinette Miele-Hall, LADC, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • New Haven, CT
National Provider Identifier
1114682127
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
001608 Issued in CT
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

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional 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

State licenses

LicenseStateTypeSpecialty
001608CTMDAddiction (Substance Use Disorder) Counselor
LCAS-28685NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Goldsboro CTC CurrentSince Apr 16, 2023 Accepting new patients
Cornell Scott Hill Health Corporation PastSince Dec 7, 2025 Accepting new patients
Ats of North Carolina, LLC PastSince Nov 9, 2021 Accepting new patients
Cornell Scott Hill Health Corporation PastSince Dec 7, 2025 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.

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.

Verify at the official NPI Registry.