Active NPI
Patricia Ann Marie Hall, LADC, CM
- Addiction (Substance Use Disorder) Counselor
- Tonkawa, OK
National Provider Identifier
1275756405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 924
- Practice address
- 1608 N. Main St.
Tonkawa, OK 74653 - Phone
- (580) 628-2539
- Fax
- (580) 628-4316
- NPI assigned
- Apr 10, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 924 | OK | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
1608 N. Main St.
Tonkawa, OK 74653
Mailing address
P.O. Box 369
Tonkawa, OK 74653
Phone (580) 628-2539
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 |
|---|---|---|---|
| 924 | OK | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpha 2 | Past | Accepting new patients | |
| Alpha II, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Substance Abuse Rehabilitation Facility
- Tonkawa, OK
- NPI 1073766465
-
- Substance Abuse Rehabilitation Facility
- Tonkawa, OK
- NPI 1982808457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1275756405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 369",
"city": "TONKAWA",
"state": "OK",
"postal_code": "74653",
"telephone_number": "580-628-2539",
"fax_number": "580-628-4316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 N. MAIN ST.",
"city": "TONKAWA",
"state": "OK",
"postal_code": "74653",
"telephone_number": "580-628-2539",
"fax_number": "580-628-4316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "PATRICIA",
"middle_name": "ANN MARIE",
"name_prefix": "Ms.",
"credential": "LADC, CM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OK",
"license": "924",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tonkawa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.