Jenifer Mary Haller, PCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.0900634

Practice address

37 N Broadway St
Akron, OH 44308-1910

Phone

(330) 535-8181

NPI assigned

Sep 24, 2010

Last updated

Feb 24, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361664000000",
    "number": "1588973564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6931 MIDDLEBRANCH AVE NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212637",
            "telephone_number": "330-354-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 N BROADWAY ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081910",
            "telephone_number": "330-535-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLER",
        "first_name": "JENIFER",
        "middle_name": "MARY",
        "credential": "PCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2013-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "E.0900634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2098340",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerome J Hall Jr.
• Lamont Alexander Hall
• Maximillian Hall, CRNA
• Patricia Kay Hall, APRN,BC
• Olivia Marie Hallas, DO
• Jeffrey Lee Halpert, D.P.M.
• Deshawna Halsell
• Champagne Monique Ham
• Alia Ismail Hamad, DO
• Samih Hamadeh, MD

• Professional Counselor in Akron, OH
• Providers in Akron, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2013; 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.