Individual provider Active NPI

Robin M Hale, LPCC-S, LICDC

  • Counselor
  • Avon Lake, OH
National Provider Identifier
1841599248
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E.0050965SUPV Issued in OH
Practice address
223 Miller Rd
Avon Lake, OH 44012-1004
Phone
(440) 822-8248
NPI assigned
Mar 24, 2011
Last updated
Dec 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0500965 OH
Counselor 101Y00000X E.0050965SUPV OH Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 101203 OH
Professional Counselor 101YP2500X

Addresses

Primary practice location

223 Miller Rd
Avon Lake, OH 44012-1004

Mailing address

33448 Shelly CT
Avon Lake, OH 44012-1129
Phone (440) 822-8248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240129002666 OH Practitioner - Mental Health Counselor 3971873340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

33448 Shelly CT
Avon Lake, OH 44012-1129
Phone (440) 822-8248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0500965OHMDCounselor
E.0050965SUPVOHMDCounselor
101203OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Reserve Counseling LLC Counselor CurrentSince May 19, 2014 Accepting new patients

Locations

223 Miller Rd
Avon Lake, OH 44012
Phone (440) 822-8248

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1841599248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33448 SHELLY CT",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121129",
            "telephone_number": "440-822-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MILLER RD",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121004",
            "telephone_number": "440-822-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "ROBIN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LPCC-S, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-24",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "0500965",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.0050965SUPV",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "101203",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon Lake, OH

Sources for this page

Verify at the official NPI Registry.