KEITH HALL (NPI# 1306378401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306378401 |
| Entity Type | Individual |
| Full Name | KEITH HALL |
| Practice Address |
1420 Willow Pass Rd 200 Concord CA 94520-5823 |
| Practice Telephone | 9255215100 |
| Practice Fax Number | 9256465622 |
| Mailing Telephone | 9255215100 |
| Mailing Fax Number | 9256465622 |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA DRIVERS LICENSE | C5650646 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306381496 | Keith Hall | Counselor | 403 Kennie Rd, Shreveport, LA 71106-6903 | 2016-12-27 |
| 1649651282 | Keith Hall | Massage Therapist | 1126 Lake Knoll Dr Nw, 1126 Lake Knoll Dr., Lilburn, GA 30047-8716 | 2015-06-09 |
| 1942865340 | Keith Hall | Registered Nurse | 1901 S Jones Blvd, Las Vegas, NV 89146-1260 | 2019-05-01 |
| 1154510840 | Keith Bernard Hall | Case Manager/Care Coordinator | 11740 E 21st St, Tulsa, OK 74129-1820 | 2007-10-18 |
| 1932163177 | Keith Brian Hall | Orthopaedic Surgery | 911 Bypass Rd, 6th Floor Clinic Building, Pikeville, KY 41501-1689 | 2006-04-14 |
| Street Address |
1420 WILLOW PASS RD 200 |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-5823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447342902 | Douglas Eugene Hanlin | Psychiatry & Neurology | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5223 | 2006-09-29 |
| 1912505314 | Tyler Evans | Registered Nurse | 1420 Willow Pass Rd, Concord, CA 94520-5823 | 2020-10-16 |
| 1356998132 | Dave Tingzon | Registered Nurse | 1420 Willow Pass Rd, Concord, CA 94520-5823 | 2019-08-26 |
| 1063985455 | Matthew Kubasta | Student in an Organized Health Care Education/Training Program | 1420 Willow Pass Rd, Concord, CA 94520 | 2019-01-08 |
| 1508388430 | Kirsten Heher | Counselor | 1420 Willow Pass Rd, 200, Concord, CA 94520 | 2017-07-12 |
| 1114459161 | Joy Witt | Counselor | 1420 Willow Pass Rd, 200, Concord, CA 94520-5823 | 2017-03-29 |
| 1073064358 | John Kayode Ojewole | Counselor | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5823 | 2016-10-20 |
| 1730540782 | Candelario Jack Castillo IIi | Social Worker | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5823 | 2016-03-17 |
| 1881031896 | Mark R Patras | Registered Nurse | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5823 | 2013-05-30 |
| 1801135033 | Robert Thomas Thigpen | Counselor | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5823 | 2013-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844273 | Michael Frost Lynch | Counselor | 23 Crest St, Concord, MA 01742-3006 | 2020-09-08 |
| 1487263281 | Tara Burgess | Counselor | 357 Nashawtuc Rd, Concord, MA 01742-1616 | 2020-07-28 |
| 1245861533 | Christine Marie Perez | Counselor | 1333 Willow Pass Rd Ste 2100, Concord, CA 94520-7930 | 2020-01-27 |
| 1649814104 | Live Your Life Clt Counseling Pllc | Counselor | 185 Church St Ne, Concord, NC 28025-4761 | 2019-10-28 |
| 1194368902 | Dara Michelle Brenner | Counselor | 66 Commonwealth Ave, Concord, MA 01742-2974 | 2019-10-24 |
| 1316593379 | Courtney J Cupelo | Counselor | 90 Airport Rd Unit 22, Concord, NH 03301-5356 | 2019-08-15 |
| 1689131104 | Baljeet Kaur Heyer | Counselor | 1486 Fox Hollow Ct, Concord, CA 94521-2521 | 2019-02-21 |
| 1679037774 | Jill C Resch | Counselor | 284 Executive Park Dr Ste 160, Concord, NC 28025-1836 | 2019-01-23 |
| 1114491412 | Eileen Ann English | Counselor | 2 Concord Greene Unit 2, Concord, MA 01742-3186 | 2019-01-20 |
| 1598239352 | Stuart Scott | Counselor | 259 S Main St, Concord, NH 03301-3405 | 2019-01-15 |
| Find all providers in CONCORD | ||||
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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.