Individual provider Active NPI

Jeanette Murray-Hall, MS

  • Professional Counselor
  • Hermitage, PA
National Provider Identifier
1619125309
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC005127 Issued in PA
Practice address
10 Snyder Rd
Suite 5
Hermitage, PA 16148-3432
Phone
(724) 815-5836
NPI assigned
Sep 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC005127 PA Primary

Addresses

Primary practice location

10 Snyder Rd
Suite 5
Hermitage, PA 16148-3432

Mailing address

2589 W Lake Rd
Jamestown, PA 16134-3533
Phone (724) 815-5836

Other identifiers 1

IdentifierTypeStateIssuer
100000380 CCC'S #MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240325003356 PA Practitioner - Mental Health Counselor 2961849047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1619125309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2589 W LAKE RD",
            "city": "JAMESTOWN",
            "state": "PA",
            "postal_code": "161343533",
            "telephone_number": "724-815-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SNYDER RD",
            "address_2": "SUITE 5",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483432",
            "telephone_number": "724-815-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY-HALL",
        "first_name": "JEANETTE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000380  CCC'S #",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

Verify at the official NPI Registry.