Individual provider Active NPI

Molly Lyon Hall, LCPC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1679759187
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180009281 Issued in IL
Practice address
3411 W Diversey Ave
Suite 8
Chicago, IL 60647-1245
Phone
(773) 888-2016
Fax
(888) 519-4215
NPI assigned
Jan 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180009281 IL Primary

Addresses

Primary practice location

3411 W Diversey Ave
Suite 8
Chicago, IL 60647-1245

Mailing address

3411 W Diversey Ave
Suite 8
Chicago, IL 60647-1245
Phone (773) 888-2016

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

State licenses

LicenseStateTypeSpecialty
180009281ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1679759187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 W DIVERSEY AVE",
            "address_2": "SUITE 8",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471245",
            "telephone_number": "773-888-2016",
            "fax_number": "888-519-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 W DIVERSEY AVE",
            "address_2": "SUITE 8",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471245",
            "telephone_number": "773-888-2016",
            "fax_number": "888-519-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MOLLY",
        "middle_name": "LYON",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180009281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.