Susan Lesli Hall, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401009884 Issued in MI

Practice address

4670 Fulton St E Ste 101
Ada, MI 49301-8409

Phone

(616) 634-1262

Fax

(616) 975-3163

NPI assigned

Mar 15, 2009

Last updated

Feb 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Susan Lesli Whaley Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Mental Health Counselor

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Group practices

Burke Group Counseling and Consulting Professionals LLCGroup PAC ID 6103190335, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Burke Group Counseling & Consulting Professionals LLC

  • Clinical Social Worker
  • Grandville, MI
  • NPI 1639593627

  Professional

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1237075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1669613097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 GLADSTONE DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062818",
            "telephone_number": "616-634-1262",
            "fax_number": "616-466-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4670 FULTON ST E STE 101",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493018409",
            "telephone_number": "616-634-1262",
            "fax_number": "616-975-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "SUSAN",
        "middle_name": "LESLI",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-15",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "WHALEY",
            "middle_name": "LESLI",
            "prefix": "MRS.",
            "credential": "M.A., L.P.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leonard Samuel Gell, MD
• Lauraann Terry Gordon
• Chantel Dobb Grant, BSN, RN
• Katie Lynn Green, LMSW
• Brian Lynn Gripentrog, MSW
• Denise Marie Hames, M.S.W.
• Rebecca Hamm Martin
• Rickie Vance Hay, M.D.
• Patrick Preston Hayford, PA-C
• Heather Jones OD LLC (Village Family Eyecare)

• Professional Counselor in Ada, MI
• Providers in Ada, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.