Jason A Hales, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4979280-3501 Issued in UT

Practice address

36 N Main St
12
Tooele, UT 84074-2100

Phone

(801) 783-9265

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hales Counseling Center, PLLC

  • Community/Behavioral Health Agency
  • Tooele, UT
  • NPI 1578881918
  NPD (past) Authorized official
• Elite Performance Health Center, PC

  • Sports Physician Chiropractor
  • South Jordan, UT
  • NPI 1689813446
  NPD (past)
• LDS Family Services

  • Counselor
  • West Valley City, UT
  • NPI 1548342553
  NPD (past)
• LDS Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Renton, WA
  • NPI 1073726485
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1659314201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N MAIN ST",
            "address_2": "UNIT 667",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742217",
            "telephone_number": "801-783-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 N MAIN ST",
            "address_2": "12",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742100",
            "telephone_number": "801-783-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALES",
        "first_name": "JASON",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "4979280-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID # INDIVIDUAL",
            "identifier": "219792803501001",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B0930",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camille Haddock
• Rebecca Hahnlein, MS, OTR/L
• Chris Corey Hakes, LCSW
• Amanda Lee Hale, RDH, HIAOMT, NBC-HWC
• Hales Counseling Center, PLLC
• Sara Hall, RN
• Kim A. Halladay, D.P.M.
• Holly K. Hamilton, LCSW
• Lori C Hamilton, PA-C
• Mikel P Hamilton, PHARMD

• Clinical Social Worker in Tooele, UT
• Providers in Tooele, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.