Individual provider Active NPI

Hannah Elizabeth Phillips Hale, LPC

  • Professional Counselor
  • Roanoke, VA
National Provider Identifier
1184289308
Registry record updated Jun 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008266 Issued in VA
Practice address
1201 3Rd St SW
Roanoke, VA 24016-4611
Phone
(540) 857-6993
Fax
(540) 857-6999
NPI assigned
May 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701008266 VA Primary

Addresses

Primary practice location

1201 3Rd St SW
Roanoke, VA 24016-4611

Mailing address

1201 3Rd St SW
Roanoke, VA 24016-4699
Phone (540) 857-6993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240206001057 VA Practitioner - Mental Health Counselor 1850734948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4335 Brambleton Ave
Roanoke, VA 24018-3404
Phone (540) 268-3411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Creating Compassion, LLC CurrentSince Dec 12, 2023 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Jan 23, 2024 Accepting new patients
Child Health Investment Partnership Past Accepting new patients

Locations

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

4335 Brambleton Ave
Roanoke, VA 24018
Phone (540) 268-3411

Organizations & group practices 3

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": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561248000000",
    "number": "1184289308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 3RD ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164699",
            "telephone_number": "540-857-6993",
            "fax_number": "540-857-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 3RD ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164611",
            "telephone_number": "540-857-6993",
            "fax_number": "540-857-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS HALE",
        "first_name": "HANNAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.