Grover Benjamin Hall, PH.D.,LCAS, CSI, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3516 Issued in NC

Practice address

11351 Involute PL Apt 103
Raleigh, NC 27617-8516

Phone

(919) 641-1555

Fax

(919) 596-1032

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1427116136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11351 INVOLUTE PL APT 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178516",
            "telephone_number": "919-641-1555",
            "fax_number": "919-596-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11351 INVOLUTE PL APT 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178516",
            "telephone_number": "919-641-1555",
            "fax_number": "919-596-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "GROVER",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.,LCAS, CSI, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "161",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "3516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103113",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Sue Hall, LCSW-A
• Anginette Hall
• Brandon Michael Hall, DPT
• Dawn M Hall, MA, LPC, LCMHCS
• Elena Hall
• Jacina Hall, LCSW
• Kaitlyn Hall
• Kala C Hall, PTA
• Karen Hall, PHD
• Kristen Nicole Hall, PNP, PMHNP

• Professional Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.