Individual provider Active NPI

Hannah Hall, LPC

  • Mental Health Counselor
  • Athens, GA
National Provider Identifier
1497297816
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC010802 Issued in GA
Practice address
367 Prince Ave Ste G
Athens, GA 30601-2471
Phone
(706) 310-9077
NPI assigned
Nov 16, 2016
Last updated
Mar 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC010802 GA Primary
Professional Counselor 101YP2500X APC005325 GA

Addresses

Primary practice location

367 Prince Ave Ste G
Athens, GA 30601-2471

Mailing address

367 Prince Ave Ste G
Athens, GA 30601-2471
Phone (706) 310-9077

Other practice location 1

1030 Village Dr
Watkinsville, GA 30677-6004
Phone (706) 310-9076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 23, 2024 through May 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC010802GAMDMental Health Counselor
APC005325GAMDProfessional Counselor

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24564/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1497297816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 PRINCE AVE STE G",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012471",
            "telephone_number": "706-310-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 PRINCE AVE STE G",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012471",
            "telephone_number": "706-310-9077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Watkinsville",
            "state": "GA",
            "postal_code": "306776004",
            "country_code": "US",
            "telephone_number": "706-310-9076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "HANNAH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC010802",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC005325",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.