Individual provider Active NPI

Harrison Dillon Hall, PRSS, BHCMII

  • Case Manager/Care Coordinator
  • Oklahoma City, OK
National Provider Identifier
1902596901
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
318849 Issued in OK
Practice address
5401 SW 29TH St
Oklahoma City, OK 73179-7602
Phone
(405) 686-7828
NPI assigned
May 11, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X
Case Manager/Care Coordinator 171M00000X 318849 OK Primary

Addresses

Primary practice location

5401 SW 29TH St
Oklahoma City, OK 73179-7602

Mailing address

3000 United Founders Blvd Ste 239
Oklahoma City, OK 73112-4294
Phone (405) 840-7040

Other practice location 1

3000 United Founders Blvd Ste 239
Oklahoma City, OK 73112-4294
Phone (405) 840-7040

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
318849OKMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Treatment Services LLC Past Accepting new patients

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": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1902596901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 UNITED FOUNDERS BLVD STE 239",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124294",
            "telephone_number": "405-840-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 SW 29TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731797602",
            "telephone_number": "405-686-7828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 United Founders Blvd Ste 239",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731124294",
            "country_code": "US",
            "telephone_number": "405-840-7040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "HARRISON",
        "middle_name": "DILLON",
        "credential": "PRSS, BHCMII",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-11",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": "318849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.