Andrea Hall, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00718000 Issued in NJ

Practice address

786 Mountain Blvd Ste 104
Watchung, NJ 07069-6268

Phone

(908) 322-9623

NPI assigned

Jul 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Calm and Sense - Watchung

  • Mental Health Counselor
  • Watchung, NJ
  • NPI 1730508938
  NPD

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1336820844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "786 MOUNTAIN BLVD STE 104",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696268",
            "telephone_number": "908-322-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 MOUNTAIN BLVD STE 104",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696268",
            "telephone_number": "908-322-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ANDREA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00718000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nan C Gottesmann, PT
• Jean S Gray
• Great Smiles of New Jersey LLC
• Gurjai Woodbridge LLC
• Paul Mansfield Hadley, O.D.
• Yoona Han, LCSW
• Ivana Nicole Haros, OD
• Bernadette Jillian Harris, PTCB
• Carl H Herman, MD
• Kiersten Higgins

• Mental Health Counselor in Watchung, NJ
• Providers in Watchung, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.