Active NPI
Donna Danita Hale, MA CBT CHT
- Mental Health Counselor
- Tiburon, CA
National Provider Identifier
1265068589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1 Blackfield Dr
Tiburon, CA 94920-2053 - Phone
- (415) 408-8829
- NPI assigned
- Mar 18, 2020
- Last updated
- Mar 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1 Blackfield Dr
Tiburon, CA 94920-2053
Mailing address
1 Blackfield Dr
Tiburon, CA 94920-2053
Phone (415) 408-8839
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1122334455 | Other | UNITED HEALTHCARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | HIPPA | Direct |
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1265068589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BLACKFIELD DR",
"city": "TIBURON",
"state": "CA",
"postal_code": "949202053",
"telephone_number": "415-408-8839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BLACKFIELD DR",
"city": "TIBURON",
"state": "CA",
"postal_code": "949202053",
"telephone_number": "415-408-8829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "DONNA",
"middle_name": "DANITA",
"credential": "MA CBT CHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-18",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1122334455",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "HIPPA",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1 Blackfield Dr",
"city": "Tiburon",
"state": "CA",
"country_code": "US",
"postal_code": "949202053",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tiburon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.