Active NPI
John Frederick Hale, MHS
- Professional Counselor
- Philadelphia, PA
National Provider Identifier
1790121960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC011294
- Practice address
- 6239 Everett Street Apt 2ND B
Philadelphia, PA 19149-2804 - Phone
- (267) 331-0729
- NPI assigned
- May 15, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | PC011294 | PA | Primary |
Addresses
Primary practice location
6239 Everett Street Apt 2ND B
Philadelphia, PA 19149-2804
Mailing address
6239 Everett Street Apt 2ND B
Philadelphia, PA 19149-2804
Phone (267) 331-0729
Other practice location 1
6028 N Water St
Philadelphia, PA 19120-2015
Phone (267) 331-0729
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC011294 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1790121960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6239 EVERETT STREET APT 2ND B",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191492804",
"telephone_number": "267-331-0729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6239 EVERETT STREET APT 2ND B",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191492804",
"telephone_number": "267-331-0729"
}
],
"practiceLocations": [
{
"address_1": "6028 N Water St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191202015",
"country_code": "US",
"telephone_number": "267-331-0729",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALE",
"first_name": "JOHN",
"middle_name": "FREDERICK",
"name_prefix": "Mr.",
"credential": "MHS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-15",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC011294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.