Active NPI
Gene Edward Hall, MA
- Professional Counselor
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LH60723485
- Practice address
- 16811 SE McGillivray Blvd
Vancouver, WA 98683-3404 - Phone
- (360) 735-8100
- Fax
- (360) 253-1781
- NPI assigned
- Jan 2, 2008
- Last updated
- Jan 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C2136 | OR | |
| Professional Counselor | 101YP2500X | LH60723485 | WA | Primary |
Addresses
Primary practice location
16811 SE McGillivray Blvd
Vancouver, WA 98683-3404
Mailing address
2172 N 7TH St
Washougal, WA 98671-8566
Phone (541) 915-2925
Other practice location 1
2172 N 7th St
Washougal, WA 98671-8566
Phone (541) 915-2925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16811 SE McGillivray Blvd
Vancouver, WA 98683-3404
Phone (360) 735-8100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2136 | OR | MD | Professional Counselor |
| LH60723485 | WA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Current | Accepting new patients |
Locations
1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100
16811 SE McGillivray Blvd
Vancouver, WA 98683
Phone (360) 514-4900
505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1619152287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2172 N 7TH ST",
"city": "WASHOUGAL",
"state": "WA",
"postal_code": "986718566",
"telephone_number": "541-915-2925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16811 SE MCGILLIVRAY BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986833404",
"telephone_number": "360-735-8100",
"fax_number": "360-253-1781"
}
],
"practiceLocations": [
{
"address_1": "2172 N 7th St",
"address_purpose": "LOCATION",
"city": "Washougal",
"state": "WA",
"postal_code": "986718566",
"country_code": "US",
"telephone_number": "541-915-2925",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "GENE",
"middle_name": "EDWARD",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-02",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C2136",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WA",
"license": "LH60723485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.