Individual provider Active NPI

Melissa Rae Hall, LPC, LAC, MFTC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1487260246
Registry record updated Sep 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0016930 Issued in CO
Practice address
5740 N Carefree Cir Ste 120
Colorado Springs, CO 80917-2787
Phone
(719) 318-3728
NPI assigned
Sep 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0001538 CO
Professional Counselor 101YP2500X LPC.0016930 CO Primary

Addresses

Primary practice location

5740 N Carefree Cir Ste 120
Colorado Springs, CO 80917-2787

Mailing address

5740 N. Carefree Circle
Suite 120 Box 394
Colorado Springs, CO 80917-1303
Phone (719) 318-3728

Other names 1

  • Melissa Rae Hoffman Other name

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

LicenseStateTypeSpecialty
ACD.0001538COMDAddiction (Substance Use Disorder) Counselor
LPC.0016930COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662768000000",
    "number": "1487260246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 N. CAREFREE CIRCLE",
            "address_2": "SUITE 120 BOX 394",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809171303",
            "telephone_number": "719-318-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 N CAREFREE CIR STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809172787",
            "telephone_number": "719-318-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MELISSA",
        "middle_name": "RAE",
        "credential": "LPC, LAC, MFTC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2022-09-10",
        "certification_date": "2022-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001538",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0016930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "HOFFMAN",
            "middle_name": "RAE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2022; 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.