Jane A Hull, LP, LADC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LP4974 Issued in MN

Practice address

Army Behavioral Health
1060 Gaffney Road Stop# 7420
Ft. Wainwright, AK 99703

Phone

(907) 361-6059

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1629102256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ARMY BEHAVIORAL HEALTH",
            "address_2": "1060 GAFFNEY ROAD STOP# 7420",
            "city": "FT. WAINWRIGHT",
            "state": "AK",
            "postal_code": "99703",
            "telephone_number": "907-361-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ARMY BEHAVIORAL HEALTH",
            "address_2": "1060 GAFFNEY ROAD STOP# 7420",
            "city": "FT. WAINWRIGHT",
            "state": "AK",
            "postal_code": "99703",
            "telephone_number": "907-361-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "JANE",
        "middle_name": "A",
        "credential": "LP, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ND",
            "license": "1214",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "62389143",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP4974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jane.a.hull2.civ@mail.mil",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mail address",
            "address_1": "Army Behavioral Health",
            "address_2": "1060 Gaffney Road",
            "city": "Ft. Wainwright",
            "state": "AK",
            "country_code": "US",
            "postal_code": "99703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arianne Juliene Henry-Kroll, MSW
• Brian Michael Herbert, PA-C
• Aury Hernandez
• Leanne Hoch, CNM
• Allison Hubert, LOTR
• Timothy Andrew Hunter, M.D.
• Steven Douglas Hurtle Jr., PA-C, PHD
• Cynthia Inderrieden
• Kevin Michael Iskra, PA-C
• Wilma June Ison, LPN

• Counseling Psychologist in Ft. Wainwright, AK
• Providers in Ft. Wainwright, AK by specialty
• Counseling Psychologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.