Organization Active NPI

Halls Anchor of Hope

Doing business as Anchor Ridge Counseling

  • Mental Health Counselor
  • Broken Arrow, OK
National Provider Identifier
1235885898
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HALLS ANCHOR OF HOPE
Doing business as
Anchor Ridge Counseling
Practice address
4416 W Houston St
Broken Arrow, OK 74012
Phone
(918) 288-0027
Fax
(918) 304-6080
NPI assigned
Feb 22, 2022
Last updated
Oct 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Mrs. Amanda K Hall, LPCNPI 1659742997
Title
Owner
Phone
(918) 288-0027

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

4416 W Houston St
Broken Arrow, OK 74012

Mailing address

4416 W Houston St
Broken Arrow, OK 74012-4645
Phone (918) 288-0027

Other practice location 1

2141 W Concord Cir
Broken Arrow, OK 74012-1459
Phone (918) 288-0027

Other names 1

  • Anchor Ridge Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241223001107 OK Part B Supplier - Clinic/Group Practice 0345777843 Receives reassigned benefits from 5 practitioners
Practice locations: Broken Arrow, OK

National Provider Directory

National Provider Directory

Locations

2141 W Concord Cir
Broken Arrow, OK 74012
Phone (918) 288-0027

4416 W Houston St
Broken Arrow, OK 74012
Phone (918) 288-0027

Practitioners & affiliated clinicians

Practitioners 6

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": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1235885898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4416 W HOUSTON ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124645",
            "telephone_number": "918-288-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4416 W HOUSTON ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "74012",
            "telephone_number": "918-288-0027",
            "fax_number": "918-304-6080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2141 W Concord Cir",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740121459",
            "country_code": "US",
            "telephone_number": "918-288-0027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HALLS ANCHOR OF HOPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-288-0027",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anchor Ridge Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.