Chamanna Shakara Hall, LCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

304929 Issued in KY

Practice address

105 Eastside Dr
Georgetown, KY 40324-9797

Phone

(502) 320-2779

NPI assigned

Mar 6, 2026

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

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": "1772755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1629924311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 HOURGLASS LN",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249033",
            "telephone_number": "502-503-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 EASTSIDE DR",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249797",
            "telephone_number": "502-320-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CHAMANNA",
        "middle_name": "SHAKARA",
        "credential": "LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "304929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kefah Habash, O.D.
• Tessa Roberts Habash, O.D.
• Kelsey Noel Hagan
• Ann Marie Haines, COTA
• Ashley Hall
• Denise Hall, CSW
• Evan M Hall, PT
• Jennifer Lynn Hall
• Kesia Marrie Hall, RBT
• Michael Patrick Hall, MD

• Addiction (Substance Use Disorder) Counselor in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.