Active NPI
Shandra R Hall, MED
- Professional Counselor
- Rock Hill, SC
National Provider Identifier
1265875355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5434
- Practice address
- 2106 Celanese Rd
Rock Hill, SC 29732-1306 - Phone
- (803) 429-6699
- NPI assigned
- Apr 9, 2013
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5434 | SC | Primary |
Addresses
Primary practice location
2106 Celanese Rd
Rock Hill, SC 29732-1306
Mailing address
1224 Iron Gate CT
Rock Hill, SC 29732-2738
Phone (803) 429-6699
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5434 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1265875355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 IRON GATE CT",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297322738",
"telephone_number": "803-429-6699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2106 CELANESE RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321306",
"telephone_number": "803-429-6699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "SHANDRA",
"middle_name": "R",
"credential": "MED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-09",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "5434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.