Individual provider Active NPI

Jamaal Hale

  • Mental Health Counselor
  • Palmyra, NE
National Provider Identifier
1336809979
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13824 Issued in NE
Practice address
903 A St
Palmyra, NE 68418-2555
Phone
(402) 730-0831
NPI assigned
Dec 22, 2021
Last updated
Sep 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13824 NE Primary

Addresses

Primary practice location

903 A St
Palmyra, NE 68418-2555

Mailing address

903 A St
Palmyra, NE 68418-2555
Phone (140) 273-0083

Other practice location 1

707 3rd St
Milford, NE 68405-8512
Phone (402) 641-7223

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

State licenses

LicenseStateTypeSpecialty
13824NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Empowerment CurrentSince Jul 10, 2022 Accepting new patients
Centered Counseling Services, LLC PastSince Dec 1, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1336809979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 A ST",
            "city": "PALMYRA",
            "state": "NE",
            "postal_code": "684182555",
            "telephone_number": "140-273-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 A ST",
            "city": "PALMYRA",
            "state": "NE",
            "postal_code": "684182555",
            "telephone_number": "402-730-0831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 3rd St",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "NE",
            "postal_code": "684058512",
            "country_code": "US",
            "telephone_number": "402-641-7223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALE",
        "first_name": "JAMAAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-22",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "13824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmyra, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.