Jill Hall, PH.D.
Individual provider Active NPI Counseling Psychologist · Atmore, AL
NPI 1124173711 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124173711
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counseling Psychologist 103TC1900X
- License
- 931 (AL)
- Practice address
- 111 3Rd Ave
Atmore, AL 36502-2609 - Phone
- (251) 446-9894
- Fax
- (251) 368-1517
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Southwest Alabama Behavioral Health Care Systems
Practice addresses (Care Compare)
1321 McMillan Ave
Brewton, AL 36426-1324
Phone (251) 867-3242
220 Magnolia Ave
Evergreen, AL 36401-3156
Phone (251) 578-4545
313 Main St N
Atmore, AL 36502-1715
Phone (251) 368-1675
328 W Claiborne St
Monroeville, AL 36460-1738
Phone (251) 575-4203
406 Medical Park Dr
Atmore, AL 36502-3016
Phone (251) 388-3820
530 Homandy Dr
Monroeville, AL 36460-8658
Phone (251) 575-4837
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040121000790 | AL | Practitioner - Clinical Psychologist | 9638071640 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 931 | AL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Alabama Behavioral Health Care Systems | Current |
Accepting new patients | |
| Southwest Alabama Behavioral Health Care Systems | Past | Accepting new patients |
Locations
313 N Main St
Atmore, AL 36502
Phone (251) 368-1675
1321 McMillan Ave
Brewton, AL 36426
Phone (251) 867-3242
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/swamh/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 931 | AL | Yes |
Addresses
Primary practice location
111 3Rd Ave
Atmore, AL 36502-2609
Mailing address
PO Box 1415
Atmore, AL 36504-1415
Phone (251) 446-9894
Other providers in Atmore, AL
- Julia Gordon
- Paolo Gorme
- Stephen M Gross
- Gulf Coast Pain Consultants LLC
- H. David Brannon, M.D., P.a.
- Lena S Hardy
- William Shane Harigel
- Health Plus Chiropractic Center LLC
- Healthy Minds Consulting LLC
- Heavenly Blessings LLC
All providers in Atmore, AL · Counseling Psychologist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.