Glenzetta Hall

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6405 Issued in LA

Practice address

7611 Saint Vincent Ave
Shreveport, LA 71106-4231

Phone

(318) 868-4552

NPI assigned

Dec 1, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: glenzetta.hall.p1@direct.davidraineschc.nextgenshare.com

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.

• David Raines Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1215933254
  Medicare reassignment NPD
• David Raines Community Health Center, Inc

  dba David Raines Community Health Center- Mobile Medical Unit #3

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1205721487
  NPD
• David Raines Community Health Center, Inc.

  dba David Raines School Based Health Center-Woodlawn

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1760906630
  NPD
• Source of Solutions Counseling Service, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bossier City, LA
  • NPI 1013363654
  NPD (past)
• Shine Medical Providers PC

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1538894050
  NPD (past)

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1265807325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 29372",
            "city": "SH",
            "state": "LA",
            "postal_code": "71149",
            "telephone_number": "318-670-8898",
            "fax_number": "318-300-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 SAINT VINCENT AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711064231",
            "telephone_number": "318-868-4552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2285 Benton Rd",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711117933",
            "country_code": "US",
            "telephone_number": "318-584-7197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "GLENZETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "6405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandra Hall
• Debra Dennington Hall, OCCUPATIONAL THERAPI
• Deianna L. Hall, LCSW
• Donna Jo R Hall, CRNA
• Frederick Jacques Hall, D.P.M.
• Helen Hall, PA-C
• James Reginald Hall III
• Jason Hall, PHARM.D.
• Jessica Michelle Hall, LMT8149
• Kaitlyn Gustinger Hall, MD

• Professional Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.