Ellen Grace Hair, APCC, NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

12640 Issued in CA

Practice address

206 Sacramento St Ste 204
Nevada City, CA 95959-2633

Phone

(310) 908-8488

NPI assigned

Oct 5, 2023

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": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1649050766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 ASHLAND AVE APT 106",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904054359",
            "telephone_number": "847-917-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 SACRAMENTO ST STE 204",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592633",
            "telephone_number": "310-908-8488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Ashland Ave Apt 106",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904054359",
            "country_code": "US",
            "telephone_number": "847-917-6629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAIR",
        "first_name": "ELLEN",
        "middle_name": "GRACE",
        "credential": "APCC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "12640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Nevada City, CA
• Providers in Nevada City, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.