Carlton David Hall Jr., M.DIV.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

64375 Issued in TX

Practice address

2210 Washington Ave
Waco, TX 76701-1019

Phone

(254) 274-3554

NPI assigned

Jun 26, 2023

Last updated

Jun 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1760168793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 IVY LN",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433436",
            "telephone_number": "254-715-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 WASHINGTON AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767011019",
            "telephone_number": "254-274-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CARLTON",
        "middle_name": "DAVID",
        "name_suffix": "Jr.",
        "credential": "M.DIV.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "64375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Hair, DO
• Bryce Haisten, PTA
• Jennifer Elizabeth Hale-Morgan, PHARMD
• Hailey Alexandra Hale
• Julie Elaine Hale, FNP-C
• Kayli Hall, MD
• Matthew Earet Hall, COTA
• Hallmark Homecare, LP (Enhabit Home Health)
• Hallsburg Isd
• Glenn Martin Haluska, M.D.

• Addiction (Substance Use Disorder) Counselor in Waco, TX
• Providers in Waco, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.