Kathleen Hald, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-14477 Issued in AZ

Practice address

204 N Mount Vernon Ave
112 East Merrit Street
Prescott, AZ 86301-3108

Phone

(928) 910-0198

NPI assigned

Dec 3, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Kathleen Pfister Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1518364652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N MOUNT VERNON AVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863013108",
            "telephone_number": "928-910-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N MOUNT VERNON AVE",
            "address_2": "112 EAST MERRIT STREET",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863013108",
            "telephone_number": "928-910-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALD",
        "first_name": "KATHLEEN",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-14477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "PFISTER",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Gunnerson
• Harald Gutgsell, MD
• Ariane R Guthrie, PHARMD, BCPS
• H. Wayne Chesser DDS PLLC
• Edward Jin Ha, MD
• Steven Michael Hale, LMSW
• Theresa Anne Haley, FNP-C
• Jennifer Elizabeth Hall, D.O.
• Kenneth George Hall, MSW
• Lauren Elise Hall, OTD, OTR

• Mental Health Counselor in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.