Active NPI
Kaius Alexander Hall, MCOUN, CRC
- Mental Health Counselor
- Medford, OR
National Provider Identifier
1417798166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-10577
- Practice address
- 1000 E Main St
Medford, OR 97504-7449 - Phone
- (541) 773-3863
- NPI assigned
- Jun 5, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-10577 | ID | Primary |
| Mental Health Counselor | 101YM0800X | R12360 | OR |
Addresses
Primary practice location
1000 E Main St
Medford, OR 97504-7449
Mailing address
1000 E Main St
Medford, OR 97504-7449
Phone (541) 773-3863
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-10577 | ID | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1417798166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E MAIN ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975047449",
"telephone_number": "541-773-3863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E MAIN ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975047449",
"telephone_number": "541-773-3863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "KAIUS",
"middle_name": "ALEXANDER",
"name_prefix": "Mr.",
"credential": "MCOUN, CRC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-05",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LPC-10577",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "R12360",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.