Active NPI
Paula J Hall, LPC
- Mental Health Counselor
- Benton, AR
National Provider Identifier
1265856397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P0905025
- Practice address
- 200 N Market St
Benton, AR 72015-3733 - Phone
- (501) 847-2229
- Fax
- (501) 847-8608
- NPI assigned
- Feb 10, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P0905025 | AR | Primary |
| Professional Counselor | 101YP2500X | P0905025 | AR |
Addresses
Primary practice location
200 N Market St
Benton, AR 72015-3733
Mailing address
6873 Grace Village Dr
Alexander, AR 72002-8315
Phone (501) 517-1254
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 |
|---|---|---|---|
| P0905025 | AR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daily Bread Counseling | Mental Health | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391990400000",
"number": "1265856397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6873 GRACE VILLAGE DR",
"city": "ALEXANDER",
"state": "AR",
"postal_code": "720028315",
"telephone_number": "501-517-1254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N MARKET ST",
"city": "BENTON",
"state": "AR",
"postal_code": "720153733",
"telephone_number": "501-847-2229",
"fax_number": "501-847-8608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "PAULA",
"middle_name": "J",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-10",
"last_updated": "2014-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "P0905025",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P0905025",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.