Active NPI
Christopher Hall, LGPC
- Professional Counselor
- Ellicott City, MD
National Provider Identifier
1841777992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LGP7828
- Practice address
- 4786 Ilkley Moor LN
Ellicott City, MD 21043-2104 - Phone
- (443) 418-5747
- NPI assigned
- Jul 22, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGP7828 | MD | Primary |
Addresses
Primary practice location
4786 Ilkley Moor LN
Ellicott City, MD 21043-2104
Mailing address
4786 Ilkley Moor LN
Ellicott City, MD 21043-6532
Phone (443) 418-5747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240125002896 | MD | Practitioner - Mental Health Counselor | 4981057965 | Practice locations: Severna Park, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
815 Ritchie Hwy
Suite 208
Severna Park, MD 21146-4164
Phone (443) 364-8010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP7828 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532217600000",
"number": "1841777992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4786 ILKLEY MOOR LN",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210436532",
"telephone_number": "443-418-5747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4786 ILKLEY MOOR LN",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210432104",
"telephone_number": "443-418-5747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "CHRISTOPHER",
"credential": "LGPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-22",
"last_updated": "2018-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LGP7828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.