Timothy Shawn Hall, M.ED., NCC, LPCA
Individual provider Active NPI Mental Health Counselor · Pippa Passes, KY
NPI 1710185368 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1710185368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- KY-0581 (KY)
- Practice address
- 4643 Highway 899
Pippa Passes, KY 41844-9033 - Phone
- (606) 634-0179
- NPI assigned
- Jul 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-0581 | KY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | KY-0581 | KY | Yes |
Addresses
Primary practice location
4643 Highway 899
Pippa Passes, KY 41844-9033
Mailing address
4643 Highway 899
Pippa Passes, KY 41844-9033
Phone (606) 634-0179
Other providers in Pippa Passes, KY
- Kayla Amburgey
- Blue Moon Behavioral Health LLC
- Randy Collins
- Sarah Gibson
- Tilda Hall
- Rita Harvell
- Christine Hayes
- Christopher Hunter
- Robert Jackson
- Christy Johnson
All providers in Pippa Passes, KY · Mental Health Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.