Individual provider Active NPI

Tamra Kay Hall, PHD, LPC, LMHC, CCS

  • Mental Health Counselor
  • Fort Myers, FL
National Provider Identifier
1740501287
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH12744 Issued in FL
Practice address
11958 Cypress Links Dr
Fort Myers, FL 33913-8402
Phone
(269) 830-2110
NPI assigned
Jun 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X E.1600084 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X C-02619 MI
Mental Health Counselor 101YM0800X 216934
Professional Counselor 101YP2500X 6401010124 MI
Professional Counselor 101YP2500X E.1600084 OH
Clinical Social Worker 1041C0700X S-20147 MI
Mental Health Counselor 101YM0800X MH12744 FL Primary

Addresses

Primary practice location

11958 Cypress Links Dr
Fort Myers, FL 33913-8402

Mailing address

11958 Cypress Links Dr
Fort Myers, FL 33913-8402
Phone (269) 830-2110

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
C-02619MIMDAddiction (Substance Use Disorder) Counselor
MH12744FLMDMental Health Counselor
6401010124MIMDProfessional Counselor
E.1600084OHMDProfessional Counselor
S-20147MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1740501287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11958 CYPRESS LINKS DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138402",
            "telephone_number": "269-830-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11958 CYPRESS LINKS DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138402",
            "telephone_number": "269-830-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "TAMRA",
        "middle_name": "KAY",
        "credential": "PHD, LPC, LMHC, CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "E.1600084",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-02619",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "216934",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401010124",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1600084",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "S-20147",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.