Active NPI
Misti Lynn Hall, LMFT
- Marriage & Family Therapist
- Winchester, KY
National Provider Identifier
1952741027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 168307
- Practice address
- 19 Wainscott Ave
Winchester, KY 40391-1970 - Phone
- (772) 538-7174
- Fax
- (502) 808-6041
- NPI assigned
- Jul 3, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 168307 | KY | Primary |
Addresses
Primary practice location
19 Wainscott Ave
Winchester, KY 40391-1970
Mailing address
5580 Ecton Rd
Winchester, KY 40391-9626
Phone (772) 538-7174
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
| License | State | Type | Specialty |
|---|---|---|---|
| 168307 | KY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Villlage, LLC | Marriage & Family Therapist | 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.
-
- Marriage & Family Therapist
- Winchester, KY
- NPI 1881076461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473552000000",
"number": "1952741027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5580 ECTON RD",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403919626",
"telephone_number": "772-538-7174",
"fax_number": "502-808-6041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 WAINSCOTT AVE",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403911970",
"telephone_number": "772-538-7174",
"fax_number": "502-808-6041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "MISTI",
"middle_name": "LYNN",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-03",
"last_updated": "2016-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KY",
"license": "168307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winchester, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.