Individual provider Active NPI

Annette Kay Halle, LSW

  • Counselor
  • Canton, OH
National Provider Identifier
1952740367
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1000333 Issued in OH
Practice address
2026 Fulton Rd NW
Suitec
Canton, OH 44709-3564
Phone
(330) 451-2060
Fax
(330) 451-2061
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1000333 OH Primary

Addresses

Primary practice location

2026 Fulton Rd NW
Suitec
Canton, OH 44709-3564

Mailing address

2026 Fulton Rd NW
Suitec
Canton, OH 44709-3564
Phone (330) 451-2060

Other names 1

  • Mrs. Annette Kay Halle Professional name

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
1000333OHMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1952740367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 FULTON RD NW",
            "address_2": "SUITEC",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093564",
            "telephone_number": "330-451-2060",
            "fax_number": "330-451-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 FULTON RD NW",
            "address_2": "SUITEC",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093564",
            "telephone_number": "330-451-2060",
            "fax_number": "330-451-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLE",
        "first_name": "ANNETTE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "1000333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "HALLE",
            "middle_name": "KAY",
            "prefix": "MRS.",
            "credential": "LSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.