Individual provider Active NPI

Rebecca Hall

  • Mental Health Counselor
  • Marietta, GA
National Provider Identifier
1902591308
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC12385 Issued in GA
Practice address
2480 Windy Hill Rd SE Ste 201
Marietta, GA 30067-8656
Phone
(678) 892-7713
NPI assigned
Apr 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC12385 GA Primary

Addresses

Primary practice location

2480 Windy Hill Rd SE Ste 201
Marietta, GA 30067-8656

Mailing address

2480 Windy Hill Rd SE Ste 201
Marietta, GA 30067-8656
Phone (678) 892-7713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC12385GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Remain Connected LLC Mental Health CurrentSince Apr 16, 2023 Accepting new patients

Locations

2480 Windy Hill Rd SE
Ste 201
Marietta, GA 30067
Phone (678) 892-7713

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": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1902591308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 WINDY HILL RD SE STE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678656",
            "telephone_number": "678-892-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 WINDY HILL RD SE STE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678656",
            "telephone_number": "678-892-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC12385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.