Active NPI
Jeremiah Hall
- Counselor
- Yukon, OK
National Provider Identifier
1275975898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 300 S Ranchwood Blvd
Suite 15 and 16
Yukon, OK 73099-2741 - Phone
- (405) 354-6010
- NPI assigned
- Jul 24, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
300 S Ranchwood Blvd
Suite 15 and 16
Yukon, OK 73099-2741
Mailing address
300 S Ranchwood Blvd
Suite 15 and 16
Yukon, OK 73099-2741
Phone (405) 354-6010
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375228800000",
"number": "1275975898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S RANCHWOOD BLVD",
"address_2": "SUITE 15 AND 16",
"city": "YUKON",
"state": "OK",
"postal_code": "730992741",
"telephone_number": "405-354-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S RANCHWOOD BLVD",
"address_2": "SUITE 15 AND 16",
"city": "YUKON",
"state": "OK",
"postal_code": "730992741",
"telephone_number": "405-354-6010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "JEREMIAH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-24",
"last_updated": "2013-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.