Active NPI
Benjamin David Hall
- Counselor
- Jacksonville, FL
National Provider Identifier
1316595374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 921 N. Davis St. BLDG. B, Suite 350
Jacksonville, FL 32209 - Phone
- (904) 601-2191
- NPI assigned
- Sep 3, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
921 N. Davis St. BLDG. B, Suite 350
Jacksonville, FL 32209
Mailing address
921 N. Davis St. BLDG. B, Suite 350
Jacksonville, FL 32209
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": "1567468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1316595374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 N. DAVIS ST. BLDG. B, SUITE 350",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 N. DAVIS ST. BLDG. B, SUITE 350",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32209",
"telephone_number": "904-601-2191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "BENJAMIN",
"middle_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-03",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.