Carla Joyce Hall, M.S., L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2003015849 Issued in MO

Practice address

1011 S East St
Mount Vernon, MO 65712-1331

Phone

(417) 678-7900

NPI assigned

Mar 30, 2007

Sex

Female

Sole proprietor

Yes

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.

• Counseling Associates of the Four States, LLC

  • Mental Health Counselor
  • Joplin, MO
  • NPI 1023255106

  MO, Professional

  Medicare reassignment NPD

Specialty

Mental Health Counselor

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346360666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 437",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "656050437",
            "telephone_number": "417-678-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 S EAST ST",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657121331",
            "telephone_number": "417-678-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CARLA",
        "middle_name": "JOYCE",
        "name_prefix": "Ms.",
        "credential": "M.S., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2003015849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Scott George, BC-HIS
• Glenda Marie Gillaspy, BC-HIS
• Mauricio Gomez, M.D.
• Jennifer Nicole Graves, PT, DPT
• Jill Lynette Griesbaum, MS, RD
• Kristen Lynne Halsted
• Hearing Crafters of America Inc
• William Charles Heiss, DDS
• Kimberly Liane Hillis
• Hazel Mae Hupeda Hofilena, RPT

• All providers in Mount Vernon, MO
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.