Mary Hall, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

165591 Issued in OH

Practice address

21 N South St
Wilmington, OH 45177-2211

Phone

(937) 481-5631

NPI assigned

Apr 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Phoenix Center, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Ironton, OH
  • NPI 1063044394
  NPD
• Phoenix Center, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ironton, OH
  • NPI 1225670813

  Addiction (Substance Use Disorder)

  NPD
• Phoenix Center, Inc.

  • General Practice Physician
  • Ironton, OH
  • NPI 1366379075
  NPD (past)

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1306333885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N SOUTH ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772211",
            "telephone_number": "937-481-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N SOUTH ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772211",
            "telephone_number": "937-481-5631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 Mercy Blvd",
            "address_purpose": "LOCATION",
            "city": "Mount Orab",
            "state": "OH",
            "postal_code": "451540296",
            "country_code": "US",
            "telephone_number": "937-712-3121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "MARY",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.165591",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "165591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhall@thephoenixcenters.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "The Phoenix Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21 N South St",
            "city": "Wilmington",
            "state": "OH",
            "country_code": "US",
            "postal_code": "451772211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Benjamin K Grzelak, CDCA
• Jennifer Linette Habermehl, CDCA
• Condia Hadley
• Parey G Haines, LSW
• Destiny Hall
• Hassan F Hamed, MD
• Levi Andrew Hamilton, DDS
• Mark A Hamilton Jr., C.1800798-TRNE
• Tabintha Hamm
• Katherine Sue Hammonds

• Addiction (Substance Use Disorder) Counselor in Wilmington, OH
• Providers in Wilmington, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.