MS. SUSAN PAIGE HALL (NPI# 1598871667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598871667 |
Entity Type | Individual |
Full Name | MS. SUSAN PAIGE HALL |
Credential | LCPC, CADC |
Practice Address |
3040 N University Ave Suite 2 Decatur IL 62526-1391 |
Mailing Address |
5150 W Cantrell St Decatur IL 62522-9778 |
Practice Telephone | 2178721700 |
Practice Fax Number | 2178721366 |
Mailing Telephone | 2178721700 |
Mailing Fax Number | 2178721366 |
Enumeration Date | 2006-08-22 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
21183 | IL | Behavioral Health & Social Service Providers |
X | 101YP2500X |
Counselor Specialization: Professional |
IL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952650558 | Susan J. Hall | Psychologist | 89 Cortland Ave, Hicksville, NY 11801-4654 | 2012-08-29 |
1043521271 | Susan E Hall | Speech-Language Pathologist | 820 Elm Dr, St Maries, ID 83861-2119 | 2010-06-22 |
1184816860 | Susan Grace Hall | Counselor | 723 W Highway 71, Office-c, Smithville, TX 78957-5751 | 2007-08-15 |
1417009804 | Susan Ruth Hall | Psychologist | 1707 Miller Trunk Hwy, Duluth, MN 55811-1880 | 2007-01-17 |
1578649067 | Susan Hall | Family Medicine | 432a West J Street, Tehachapi, CA 93561 | 2006-10-27 |
1356969265 | Susan Mccall Hall | Nurse Practitioner | 2212 S 17th St, Wilmington, NC 28401-7515 | 2020-07-07 |
1689291718 | Susan Marie Hall | Counselor | 200 1st Ave W Ste 400, Seattle, WA 98119-4219 | 2020-07-06 |
1962970848 | Susan Teresa Hall | Pharmacist | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2018-11-08 |
1578031019 | Susan Hall | Speech-Language Pathologist | 4405 Evans To Locks Rd Ste C, Evans, GA 30809-3737 | 2018-11-02 |
1366976219 | Susan Marie Hall | Registered Nurse | 101 Page St, New Bedford, MA 02740-3464 | 2017-04-18 |
Street Address |
3040 N UNIVERSITY AVE SUITE 2 |
City | DECATUR |
State | IL |
Zip Code | 62526-1391 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598073959 | Mary Elizabeth Garrison | Social Worker | 3040 N University Ave, Suite 2, Decatur, IL 62526-1391 | 2010-09-20 |
1760623748 | Carol Sue Wright | Counselor | 3040 N University Ave, Suite 2, Decatur, IL 62526-1391 | 2009-03-20 |
1437323235 | Roger Eugene Daniels | Counselor | 3040 N University Ave, Suite 2, Decatur, IL 62526-1391 | 2008-04-14 |
1144494881 | Timothy Howard Moore | Counselor | 3040 N University Ave, Suite 2, Decatur, IL 62526-1391 | 2008-04-14 |
1871685115 | Matthew Wayne Hunt | Counselor | 3040 N University Ave, Suite 2, Decatur, IL 62526-1391 | 2006-09-28 |
1578654216 | Patricia Marie Brown | Counselor | 3040 N University Ave, Suite 2, Decatur, IL 62526-1391 | 2006-09-27 |
1831209758 | David Ray Wence | Counselor | 3040 N University Ave, Ste 2, Decatur, IL 62526-1351 | 2006-08-30 |
1184732745 | Decatur Psychological Associates PC | Counselor | 3040 N University Ave, Suite 2, Decatur, IL 62526-1351 | 2006-08-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
Find all providers in zip 62526 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578115564 | Averette Consultation & Therapy, LLC | Counselor | 2789 Lakeview Walk, Decatur, GA 30035-4061 | 2019-07-10 |
1972070274 | Lelah Ray | Counselor | 235 N Mill St Ste 800, Decatur, IL 62523-1381 | 2018-10-25 |
1821540865 | Heritage Behavioral Health Center | Counselor | 1029 N Water St, Decatur, IL 62523-1022 | 2016-10-25 |
1700246709 | Kimberly Moss Wilson | Counselor | 1116 E Ponce De Leon Ave, Decatur, GA 30030-2711 | 2016-03-03 |
1053749168 | Matthew Wagner | Counselor | 545 N Mcdonough St Ste 212, Decatur, GA 30030-3310 | 2013-10-29 |
1699011155 | Whitney Terree Tyler | Counselor | 3630 Camp Cir Ste 102, Decatur, GA 30032-1304 | 2013-01-02 |
1114273315 | Fresh Start Community Developers, LLC | Counselor | 46 Sycamore Sta, Decatur, GA 30030-2757 | 2012-07-25 |
1518103662 | Lunye Geter | Counselor | 2799 Lawrenceville Highway, Ste 201, Decatur, GA 30033-2517 | 2008-12-19 |
1346416013 | Elaine Rowland Tophia | Counselor | 2283 Waters Run, Decatur, GA 30035-2528 | 2008-05-02 |
1891964995 | Sheryl A White | Counselor | 1106 E Business Hwy 380, Decatur, TX 76234 | 2008-02-22 |
Find all providers in DECATUR |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.