Organization Active NPI

Kerri J. Hall LLC

  • Clinical Social Worker
  • Lenexa, KS
National Provider Identifier
1831482322
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2073 Issued in KS
Legal business name
KERRI J. HALL LLC
Practice address
12351 W 96TH Ter
Suite 104
Lenexa, KS 66215-4409
Phone
(913) 558-5648
Fax
(913) 962-4248
NPI assigned
May 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Authorized official

Name
Kerri J Hall
Title
Owner
Phone
(913) 558-5648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 2073 KS Primary

Addresses

Primary practice location

12351 W 96TH Ter
Suite 104
Lenexa, KS 66215-4409

Mailing address

12351 W 96TH Ter
Suite 104
Lenexa, KS 66215-4409
Phone (913) 558-5648

Other identifiers 1

IdentifierTypeStateIssuer
203365008MedicaidKS

National Provider Directory

National Provider Directory

Locations

12351 W 96th Ter
Ste 104
Lenexa, KS 66215
Phone (913) 558-5648

NPI Registry JSON

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1831482322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12351 W 96TH TER",
            "address_2": "SUITE 104",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154409",
            "telephone_number": "913-558-5648",
            "fax_number": "913-962-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12351 W 96TH TER",
            "address_2": "SUITE 104",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154409",
            "telephone_number": "913-558-5648",
            "fax_number": "913-962-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRI J. HALL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-558-5648"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203365008",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.