Organization Active NPI

Kelsey Hale LPC LLC

  • Professional Counselor
  • Berlin, CT
National Provider Identifier
1205344843
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3357 Issued in CT
Legal business name
KELSEY HALE LPC LLC
Practice address
59 Deming Rd
Berlin, CT 06037-1512
Phone
(860) 916-2228
NPI assigned
Jan 17, 2018
Last updated
Feb 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Ms. Kelsey Hale, LPCNPI 1225436769
Title
Professional Counselor
Phone
(860) 398-5584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3357 CT Primary

Addresses

Primary practice location

59 Deming Rd
Berlin, CT 06037-1512

Mailing address

59 Deming Rd
Berlin, CT 06037-1512

National Provider Directory

National Provider Directory

Locations

59 Deming Rd
Berlin, CT 06037
Phone (860) 398-5584

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1205344843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 DEMING RD",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060371512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 DEMING RD",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060371512",
            "telephone_number": "860-916-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELSEY HALE LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "860-398-5584",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "3357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.