Brittany Ketchup Hall

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC012859 Issued in GA

Practice address

1025 Veterans Memorial Hwy SE Ste 660
Mableton, GA 30126-7711

Phone

(678) 696-1824

NPI assigned

Sep 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Summit Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • Johns Creek, GA
  • NPI 1477761633
  NPD (past)

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1881112217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 VETERANS MEMORIAL HWY SE STE 660",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301267711",
            "telephone_number": "678-696-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 VETERANS MEMORIAL HWY SE STE 660",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301267711",
            "telephone_number": "678-696-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETCHUP HALL",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC006917",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC012859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7068",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6758",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharica John, PMHNP
• Eunice Jones
• Stacey Lynette Jones
• K &K Consulting Services
• Jnae Kai, CNA, CPCT
• Key Essentials Counseling and Consulting LLC
• Recarlo King
• Kiritkumar J. Shah, M.D.,PC
• Kvell Transport LLC
• Alyssa Catherine Laforme Fiss, PT, PHD, PCS

• Professional Counselor in Mableton, GA
• Providers in Mableton, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.