Active NPI
Melissa Hall
- Clinical Social Worker
- Bountiful, UT
National Provider Identifier
1770218166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1355 N Main St Ste 1
Bountiful, UT 84010-5982 - Phone
- (801) 259-3883
- NPI assigned
- Jul 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1355 N Main St Ste 1
Bountiful, UT 84010-5982
Mailing address
893 W 2150 S
Woods Cross, UT 84087-2132
Phone (801) 703-6888
Other practice location 1
893 W 2150 S
Woods Cross, UT 84087-2132
Phone (801) 703-6888
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | melhall11 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 29, 2024 through Aug 29, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resilient Solutions, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Bountiful, UT
- NPI 1588821011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1770218166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "893 W 2150 S",
"city": "WOODS CROSS",
"state": "UT",
"postal_code": "840872132",
"telephone_number": "801-703-6888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1355 N MAIN ST STE 1",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840105982",
"telephone_number": "801-259-3883"
}
],
"practiceLocations": [
{
"address_1": "893 W 2150 S",
"address_purpose": "LOCATION",
"city": "Woods Cross",
"state": "UT",
"postal_code": "840872132",
"country_code": "US",
"telephone_number": "801-703-6888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-19",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "melhall11",
"affiliation": "N",
"address_1": "893 W 2150 S",
"city": "Woods Cross",
"state": "UT",
"country_code": "US",
"postal_code": "840872132",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.