Individual provider Active NPI

Lisa Rene Hall, LPC, MA

  • Professional Counselor
  • Salem, OR
National Provider Identifier
1700278744
Registry record updated Jan 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C5134 Issued in OR
Practice address
880 Liberty St NE
Salem, OR 97301-2450
Phone
(503) 932-3977
NPI assigned
Feb 27, 2015
Last updated
Jan 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C5134 OR Primary

Addresses

Primary practice location

880 Liberty St NE
Salem, OR 97301-2450

Mailing address

880 Liberty St NE
Salem, OR 97301-2450
Phone (503) 932-3977

Other practice location 1

131 Pine St NE
Salem, OR 97301-0728
Phone (503) 932-3977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3787 River Rd N
Suite C
Keizer, OR 97303-4899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546646400000",
    "number": "1700278744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 LIBERTY ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012450",
            "telephone_number": "503-932-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 LIBERTY ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012450",
            "telephone_number": "503-932-3977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Pine St NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973010728",
            "country_code": "US",
            "telephone_number": "503-932-3977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "LISA",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "LPC, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-27",
        "last_updated": "2019-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C5134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.