NPIMap

Organization Active NPI

Jordonna Hall

  • Community/Behavioral Health Agency
  • Champaign, IL
National Provider Identifier
1871908285
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
180.008352 Issued in IL
Legal business name
JORDONNA HALL
Practice address
803 Haines Blvd
Champaign, IL 61820-6310
Phone
(217) 621-5583
NPI assigned
Jun 24, 2014
Last updated
Jun 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Jordonna Hall, LPCPNPI 1487060257
Title
Therapist
Phone
(217) 621-5583

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 180.008352 IL Primary

Addresses

Primary practice location

803 Haines Blvd
Champaign, IL 61820-6310

Mailing address

803 Haines Blvd
Champaign, IL 61820-6310

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1871908285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 HAINES BLVD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618206310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 HAINES BLVD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618206310",
            "telephone_number": "217-621-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDONNA HALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JORDONNA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "217-621-5583",
        "authorized_official_credential": "LPCP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180.008352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.