Kathryn Jane Hall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114389 Issued in AK

Practice address

860 S Roberts St # 200
Wasilla, AK 99654-0014

Phone

(079) 313-7965

Fax

(907) 531-3886

NPI assigned

Dec 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Blue Spruce Counseling Services

  • Adult Mental Health Clinic/Center
  • Palmer, AK
  • NPI 1245949478

  AK

  Medicare reassignment NPD Authorized official
• Kenai Peninsula Mental Health LLC

  • Professional Counselor
  • Soldotna, AK
  • NPI 1588135776
  NPD

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1992007603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2653",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996692653",
            "telephone_number": "907-531-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 S ROBERTS ST # 200",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996540014",
            "telephone_number": "079-313-7965",
            "fax_number": "907-531-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KATHRYN",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "114389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandler Rose Hall
• Heather Hall
• Heather Ann Hall
• James Goodwin Hall, DDS
• Jennifer Ann Hall, RDH, QOM
• Amber Halsey
• Peggy Jean Halsey, CDM, CPM
• Deann Halverson
• Roger Hamacher
• Escorita Lynei Hamilton

• All providers in Wasilla, AK
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.