Active NPI
Jon Christopher Hall, PH.D., LCSW
- Counselor
- Wilmington, NC
National Provider Identifier
1720250467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C005936
- Practice address
- 321 N Front St
Wilmington, NC 28401-3908 - Phone
- (910) 795-6677
- NPI assigned
- Apr 1, 2008
- Last updated
- Sep 4, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C005936 | NC | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C005936 | NC | |
| Mental Health Counselor | 101YM0800X | C005936 | NC | |
| Professional Counselor | 101YP2500X | C005936 | NC | |
| School Counselor | 101YS0200X | C005936 | NC | |
| Clinical Social Worker | 1041C0700X | C005936 | NC | |
| School Social Worker | 1041S0200X | C005936 | NC | |
| Marriage & Family Therapist | 106H00000X | C005936 | NC | |
| Psychoanalyst | 102L00000X | C005936 | NC |
Addresses
Primary practice location
321 N Front St
Wilmington, NC 28401-3908
Mailing address
9404 Voyagers Way
Wilmington, NC 28412-3442
Phone (910) 795-6677
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150727002614 | NC | Practitioner - Clinical Social Worker | 4284948829 | Practice locations: Wilmington, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5006 Randall Pkwy
Wilmington, NC 28403-2829
Phone (910) 795-6677
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C005936 | NC | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapist Wilmington | Counselor | Past | Accepting new patients |
| The Wilmington Center PLLC | Counselor | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409788800000",
"number": "1720250467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9404 VOYAGERS WAY",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284123442",
"telephone_number": "910-795-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 N FRONT ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284013908",
"telephone_number": "910-795-6677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "JON",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "PH.D., LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-01",
"last_updated": "2014-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "C005936",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "C005936",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "C005936",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "C005936",
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NC",
"license": "C005936",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C005936",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NC",
"license": "C005936",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "C005936",
"primary": false
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NC",
"license": "C005936",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.