Luther Ryan Hale, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW -30112 Issued in ID

Practice address

2640 W Southslope Rd
Emmett, ID 83617-8800

Phone

(208) 407-8916

NPI assigned

Dec 22, 2009

Last updated

Mar 3, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hale Counseling LLCGroup PAC ID 7719330323, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hale Counseling LLC

  dba Ryan Hale Counseling

  • Clinical Social Worker
  • Emmett, ID
  • NPI 1811650468
  Medicare reassignment Care Compare group NPD Authorized official
• A New Leaf, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Meridian, ID
  • NPI 1114063344
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1285963223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 W SOUTHSLOPE RD",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836178800",
            "telephone_number": "208-407-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 W SOUTHSLOPE RD",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836178800",
            "telephone_number": "208-407-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "LUTHER",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-22",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW30122",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW -30112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Golden, DPT
• Paden Gonzales
• Ryan Thomas Gudenkauf
• Guided Growth Behavior Support, PLLC
• Hale Counseling LLC (Ryan Hale Counseling)
• Chancen Darwin Hall
• Forrest Dean Hammeren
• Gretchen Kletzer Hancock
• Amanda Dawn Hardisty, CPHT
• Brigham Hardy, DO

• Clinical Social Worker in Emmett, ID
• Providers in Emmett, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.