Individual provider Active NPI

Edrick Lyle Hall II, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1417485285
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
74381 Issued in TX
Practice address
531 Heidrich St
Houston, TX 77018-4524
Phone
(832) 865-3493
Fax
(713) 970-7246
NPI assigned
May 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 74381 TX Primary

Addresses

Primary practice location

531 Heidrich St
Houston, TX 77018-4524

Mailing address

531 Heidrich St
Houston, TX 77018-4524
Phone (832) 865-3493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20260611004114 TX Practitioner - Mental Health Counselor 4284106147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 10062
Houston, TX 77206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
74381TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hall Counseling & Consulting Services, PLLC Professional CurrentSince Sep 4, 2022 Accepting new patients
The Harris Center for Mental Health and Idd Past Accepting new patients
The Harris Center for Mental Health and Idd PastSince Aug 4, 1993 Accepting new patients

Organizations & group practices 3

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": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1417485285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 HEIDRICH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770184524",
            "telephone_number": "832-865-3493",
            "fax_number": "713-970-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 HEIDRICH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770184524",
            "telephone_number": "832-865-3493",
            "fax_number": "713-970-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "EDRICK",
        "middle_name": "LYLE",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-24",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.