Organization Active NPI

Sandra Hall, LMHC, Cap, CRC, PA

  • Professional Counselor
  • Largo, FL
National Provider Identifier
1467996033
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MH 7586 Issued in FL
Legal business name
SANDRA HALL, LMHC, CAP, CRC, PA
Practice address
10825 Seminole Blvd
Unit 2a
Largo, FL 33778-3315
Phone
(727) 623-0974
Fax
(727) 623-0975
NPI assigned
Dec 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Sandra Swary Hall, LMHC, CAP, CRCNPI 1881638807
Title
Ceo
Phone
(727) 623-0974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X MH 7586 FL Primary

Addresses

Primary practice location

10825 Seminole Blvd
Unit 2a
Largo, FL 33778-3315

Mailing address

10825 Seminole Blvd
Unit 2a
Largo, FL 33778-3315
Phone (727) 623-0974

Other identifiers 1

IdentifierTypeStateIssuer
767696400MedicaidFL

National Provider Directory

National Provider Directory

Locations

10825 Seminole Blvd
Ste A2
Largo, FL 33778
Phone (727) 623-0974

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1467996033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10825 SEMINOLE BLVD",
            "address_2": "UNIT 2A",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783315",
            "telephone_number": "727-623-0974",
            "fax_number": "727-623-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10825 SEMINOLE BLVD",
            "address_2": "UNIT 2A",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783315",
            "telephone_number": "727-623-0974",
            "fax_number": "727-623-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA HALL, LMHC, CAP, CRC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "SWARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-623-0974",
        "authorized_official_credential": "LMHC, CAP, CRC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH 7586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "767696400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.