Active NPI
Gregory N Hall, LPC, NCC
- Professional Counselor
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-4738
- Practice address
- 2273 S Vista Ave
Ste. 190
Boise, ID 83705-7341 - Phone
- (208) 343-2737
- Fax
- (208) 342-3238
- NPI assigned
- Aug 1, 2011
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-4738 | ID | Primary |
Addresses
Primary practice location
2273 S Vista Ave
Ste. 190
Boise, ID 83705-7341
Mailing address
2273 S Vista Ave
Ste. 190
Boise, ID 83705-7341
Phone (208) 343-2737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-4738 | ID | MD | Professional Counselor |
| 15976 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Current | Accepting new patients |
Locations
100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
1920 W 1st St
Winston Salem, NC 27104
Phone (336) 716-4479
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312156800000",
"number": "1689952145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2273 S VISTA AVE",
"address_2": "STE. 190",
"city": "BOISE",
"state": "ID",
"postal_code": "837057341",
"telephone_number": "208-343-2737",
"fax_number": "208-342-3238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2273 S VISTA AVE",
"address_2": "STE. 190",
"city": "BOISE",
"state": "ID",
"postal_code": "837057341",
"telephone_number": "208-343-2737",
"fax_number": "208-342-3238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "GREGORY",
"middle_name": "N",
"credential": "LPC, NCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-01",
"last_updated": "2011-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LPC-4738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.