Susan Rae Hall, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401010856 Issued in MI

Practice address

1011 W Maple St Ste 400
Kalamazoo, MI 49008-5806

Phone

(269) 353-7607

Fax

(269) 888-2260

NPI assigned

Oct 12, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Susan Rae Dunham Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Whole Life Counseling PLLC

  • Community/Behavioral Health Agency
  • Kalamazoo, MI
  • NPI 1700100989
  Medicare reassignment NPD Authorized official
• Samaritas Lutheran Social Services of Michigan

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, MI
  • NPI 1972860005

  Community/Behavioral Health

  NPD (past)

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1295010064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W MAPLE ST STE 400",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490085806",
            "telephone_number": "269-353-7607",
            "fax_number": "269-888-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W MAPLE ST STE 400",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490085806",
            "telephone_number": "269-353-7607",
            "fax_number": "269-888-2260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4341 S Westnedge Ave",
            "address_2": "Suite 2000",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490083289",
            "country_code": "US",
            "telephone_number": "269-345-5776",
            "fax_number": "269-345-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "SUSAN",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401010856",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "DUNHAM",
            "middle_name": "RAE",
            "prefix": "MRS.",
            "credential": "MA, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Rebecca Hall, LMSW
• Judith Carol Hall, RN,MA,LPC
• Marcus Hall Jr.
• Sandrena Hall, LPC
• Shawn M Hall, DO
• Elizabethe Hallan
• Jodi L Haller, PA-C
• Kurt A Haller, MD
• Michelle K Halley, MD
• Kevin M Hallgren, D.D.S., M.S.D.

• Professional Counselor in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.