Active NPI
Amy Hall, LPC
- Professional Counselor
- Normal, IL
National Provider Identifier
1265833164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.005272
- Practice address
- 706 Oglesby Ave
Ste. 112
Normal, IL 61761-4616 - Phone
- (309) 585-0241
- NPI assigned
- Sep 10, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.005272 | IL | Primary |
Addresses
Primary practice location
706 Oglesby Ave
Ste. 112
Normal, IL 61761-4616
Mailing address
9 Burgundy CT
Bloomington, IL 61704-8372
Phone (309) 662-8224
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.005272 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truth in Love Counseling LLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- Bloomington, IL
- NPI 1831526961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410307200000",
"number": "1265833164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 BURGUNDY CT",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617048372",
"telephone_number": "309-662-8224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 OGLESBY AVE",
"address_2": "STE. 112",
"city": "NORMAL",
"state": "IL",
"postal_code": "617614616",
"telephone_number": "309-585-0241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "AMY",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-10",
"last_updated": "2014-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.005272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.