Individual provider Active NPI

Kathy M. Hale, LCSW AND RPT

  • Mental Health Counselor
  • McDonough, GA
National Provider Identifier
1154626174
Registry record updated Jan 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CSW002281 Issued in GA
Practice address
204 W Campground Rd
McDonough, GA 30253-8002
Phone
(770) 898-2966
NPI assigned
Jan 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CSW002281 GA Primary

Addresses

Primary practice location

204 W Campground Rd
McDonough, GA 30253-8002

Mailing address

204 W Campground Rd
McDonough, GA 30253-8002
Phone (770) 898-2966

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
CSW002281GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle's Landing Christian Counseling Center, Inc. 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295654400000",
    "number": "1154626174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W CAMPGROUND RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538002",
            "telephone_number": "770-898-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W CAMPGROUND RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538002",
            "telephone_number": "770-898-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "KATHY",
        "middle_name": "M.",
        "credential": "LCSW AND RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-22",
        "last_updated": "2011-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "CSW002281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2011; 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.