MR. LARRY JAMES HALL (NPI# 1265628499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265628499 |
| Entity Type | Individual |
| Full Name | MR. LARRY JAMES HALL |
| Credential | CAC-1 |
| Practice Address |
1105 6th St Traverse City MI 49684-2345 |
| Practice Telephone | 2319356215 |
| Mailing Telephone | 2319356215 |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215366364 | Larry Joe Hall | Otolaryngology | 790 North Dixie Suite 800, Elizabethtown, KY 42701 | 2013-11-08 |
| 1225207202 | Larry Jene Hall | Pediatrics | 2010 Opportunity Lane, Glide, OR 97443-9779 | 2008-02-25 |
| 1902140817 | Larry James Hall | Pharmacist | 1000 15th St N, Humboldt, IA 50548-1008 | 2012-11-15 |
| 1871745091 | Larry Howard Hall | Physical Therapist | 239 Ash St, Tipton, IN 46072-1752 | 2008-10-21 |
| 1609997444 | Larry Hall | Psychologist | 1 Steele St, #113, Burlington, VT 05401-6204 | 2007-04-02 |
| 1013055920 | Larry Hall | Personal Emergency Response Attendant | 2000 Holiday Ln, Fulton, KY 42041-8468 | 2007-02-02 |
| 1487693651 | Larry Nielson Hall | Social Worker | 2121 North Ave, Grand Junction, CO 81501-6428 | 2006-06-05 |
| 1548269467 | Larry C Hall | Radiology | 1 Wyoming St, Dayton, OH 45409-2722 | 2005-07-21 |
| Street Address |
1105 6TH ST |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205831617 | James D Sitek | Internal Medicine | 1105 6th St, Traverse City, MI 49684-2349 | 2005-06-14 |
| 1902418437 | Allison Cook | Pharmacist | 1105 6th St, Traverse City, MI 49684-2345 | 2020-08-17 |
| 1326689332 | Joseph Zerka | Pharmacist | 1105 6th St, Traverse City, MI 49684-2386 | 2019-10-01 |
| 1891344545 | Noelle Warren | Occupational Therapist | 1105 6th St, Traverse City, MI 49684-2345 | 2019-09-05 |
| 1235788134 | Andrea Kober | Occupational Therapist | 1105 6th St, Traverse City, MI 49684-2345 | 2019-09-04 |
| 1932757986 | Lauren Smith | Occupational Therapist | 1105 6th St, Traverse City, MI 49684-2345 | 2019-09-03 |
| 1114572880 | Lynne Severt | Speech-Language Pathologist | 1105 6th St, Traverse City, MI 49684-2345 | 2019-08-08 |
| 1104487214 | David Friedlander | Speech-Language Pathologist | 1105 6th St, Traverse City, MI 49684-2345 | 2019-06-28 |
| 1447811161 | Tracey Lynn Gray | Speech-Language Pathologist | 1105 6th St, Traverse City, MI 49684-2345 | 2019-06-24 |
| 1164083895 | Jami Lynn Cooke | Speech-Language Pathologist | 1105 6th St, Traverse City, MI 49684-2386 | 2019-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760950257 | Actualized Self Counseling and Wellness P.l.l.c. | Counselor | 3301 Veterans Dr Ste 106, Traverse City, MI 49684-4592 | 2018-11-02 |
| 1649624180 | Jessica Mcgraw | Counselor | 445 E State St, Traverse City, MI 49686-2603 | 2016-04-21 |
| 1801226683 | Amy Marie Cox | Counselor | 216 Munson Ave Ste A, Traverse City, MI 49686-3099 | 2013-11-15 |
| 1568785442 | Melinda Ann Walker | Counselor | 13651 S W Bayshore Dr., Suite 309, Traverse City, MI 49684 | 2010-03-08 |
| 1164694030 | Chad Thomas Bousamra | Counselor | 1105 E Eighth St, Traverse City, MI 49686-2936 | 2008-03-31 |
| 1760531271 | Kathryn Louise Martin | Counselor | 827 W Front St, Traverse City, MI 49684-2465 | 2007-01-10 |
| 1629052196 | Addiction Treatment Services | Counselor | 940 E 8th St, Traverse City, MI 49686-2762 | 2005-11-30 |
| 1689211039 | Peter Laskey | Counselor | 1010 S Garfield Ave, Traverse City, MI 49686-3434 | 2019-12-04 |
| 1679110027 | Matthew Springberg | Counselor | 1010 S Garfield Ave, Traverse City, MI 49686-3434 | 2019-12-04 |
| 1750928107 | Sydney Wendels | Counselor | 1010 S Garfield Ave, Traverse City, MI 49686-3434 | 2019-12-04 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
Please comment or provide details below to improve the information on MR. LARRY JAMES HALL.
| 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.