Active NPI
Brandy Hall, LMSW
- Counselor
- Berryville, AR
National Provider Identifier
1497521959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 12831M
- Practice address
- 605 Eureka Ave Ste BB
Berryville, AR 72616-3839 - Phone
- (870) 929-6023
- Fax
- (870) 280-3468
- NPI assigned
- Nov 27, 2023
- Last updated
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 12831M | AR | Primary |
Addresses
Primary practice location
605 Eureka Ave Ste BB
Berryville, AR 72616-3839
Mailing address
PO Box 679
Morrilton, AR 72110-0679
Phone (501) 354-4589
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 |
|---|---|---|---|
| 12831M | AR | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1497521959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 679",
"city": "MORRILTON",
"state": "AR",
"postal_code": "721100679",
"telephone_number": "501-354-4589",
"fax_number": "501-354-5410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 EUREKA AVE STE BB",
"city": "BERRYVILLE",
"state": "AR",
"postal_code": "726163839",
"telephone_number": "870-929-6023",
"fax_number": "870-280-3468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "BRANDY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-27",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AR",
"license": "12831M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berryville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.