Individual provider Active NPI

Chelsea Hall

  • Professional Counselor
  • Athens, GA
National Provider Identifier
1902292840
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC008333 Issued in GA
Practice address
485 Huntington Rd Ste 197
Athens, GA 30606-1845
Phone
(404) 500-9195
NPI assigned
Apr 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC008333 GA Primary

Addresses

Primary practice location

485 Huntington Rd Ste 197
Athens, GA 30606-1845

Mailing address

485 Huntington Rd Ste 197
Athens, GA 30606-1845
Phone (404) 500-9195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240510000549 GA Practitioner - Mental Health Counselor 9032550801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

485 Huntington Rd
Suite 197
Athens, GA 30606-1845
Phone (404) 500-9195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC008333GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level Care LLC Professional CurrentSince Apr 27, 2024 Accepting new patients

Locations

485 Huntington Rd
Ste 197
Athens, GA 30606
Phone (404) 500-9195

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1902292840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 HUNTINGTON RD STE 197",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306061845",
            "telephone_number": "404-500-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 HUNTINGTON RD STE 197",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306061845",
            "telephone_number": "404-500-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CHELSEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.