Active NPI
Richard Jarett Hall, LPC-MHSP-TEMPORARY
- Mental Health Counselor
- Chattanooga, TN
National Provider Identifier
1649909516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5637
- Practice address
- 1300 E 23Rd St
Chattanooga, TN 37404-5701 - Phone
- (423) 760-4000
- Fax
- (423) 760-4051
- NPI assigned
- Jun 7, 2022
- Last updated
- Jun 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5637 | TN | Primary |
Addresses
Primary practice location
1300 E 23Rd St
Chattanooga, TN 37404-5701
Mailing address
528 Hurricane Creek Rd
Chattanooga, TN 37421-4553
Phone (407) 496-1465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OB Medicos, PLLC | Current | Accepting new patients |
Locations
1300 E 23rd St
Chattanooga, TN 37404
Phone (423) 760-4000
Interoperability endpoints
- richard.hall.1@26609.direct.athenahealth.com
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": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1649909516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 HURRICANE CREEK RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374214553",
"telephone_number": "407-496-1465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 E 23RD ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374045701",
"telephone_number": "423-760-4000",
"fax_number": "423-760-4051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "RICHARD",
"middle_name": "JARETT",
"credential": "LPC-MHSP-TEMPORARY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-07",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "5637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.