Active NPI
Jonathan Edward Hall
- Counselor
- Waterford, MI
National Provider Identifier
1336738921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 4000 W Walton Blvd Ste B
Waterford, MI 48329-4191 - Phone
- (248) 461-6266
- NPI assigned
- Jan 18, 2021
- Sex
- Male
- Sole proprietor
- No
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
4000 W Walton Blvd Ste B
Waterford, MI 48329-4191
Mailing address
1920 S Hill Rd
Milford, MI 48381-3231
Phone (248) 838-8924
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifelens Psychological and Counseling Services | Counselor | Current | Accepting new patients |
Locations
4000 W Walton Blvd
Ste B
Waterford, MI 48329
Phone (248) 461-6266
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1336738921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 S HILL RD",
"city": "MILFORD",
"state": "MI",
"postal_code": "483813231",
"telephone_number": "248-838-8924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 W WALTON BLVD STE B",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483294191",
"telephone_number": "248-461-6266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "JONATHAN",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-18",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.