SUSAN HALL – Professional Counselor, NPI 1154847325

SUSAN HALL is a healthcare provider. based in Bentonville, Arkansas. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. P2204006 (AR). The NPI Number for SUSAN HALL is 1154847325

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN HALL
NPI
1154847325
Phone
(479) 464-1060
Address
602 N WALTON BLVD
Enumeration Date
18 August 2017
Last Update Date
9 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8708627921
Graduation Year
2017 (9 years ago)
PAC ID
2769833318
Group Practice PAC ID
0941199988
Professional Enrollment ID
I20240108004104
Address ID
AR717013941CA211XXSWXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

640 MENTAL HEALTH COUNSELOR in AR

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Provider Addresses for SUSAN HALL

  • Preferred Family Healthcare, 602, North Walton Boulevard, Bentonville, Benton County, Arkansas, 72712, United States

    BENTONVILLE, AR 727124576

    Phone: (479) 464-1060

    Fax: (479) 271-6307

    Type: Mailing

  • 115, Jefferson Street Southwest, Camden, Ouachita County, Arkansas, 71701, United States

    CAMDEN, AR 717013945

    Phone: (870) 836-8888

    Fax: (870) 836-8881

    Type: Location

  • 715 N COLLEGE AVE

    EL DORADO, AR 717304403

    Phone: (870) 864-2417

    Type: Mailing

  • 211 JACKSON ST SW

    CAMDEN, AR 717013941

    Phone: (870) 836-5743

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240108004104IMental Health CounselorARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72712)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941199988View full group profile
NameSpecialtyState
Clinical Social WorkerAR
Mental Health CounselorAR
Nurse PractitionerAR
Mental Health CounselorAR
-AR
Nurse PractitionerAR
Mental Health CounselorAR
-AR
Mental Health CounselorAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

How do payers reference SUSAN HALL?
For SUSAN HALL, use NPI 1154847325 as the unique 10-digit identifier.
Active or inactive — what applies to SUSAN HALL?
You should see SUSAN HALL as active in CMS-hosted NPPES data.
How would a patient describe SUSAN HALL's focus?
For SUSAN HALL, the primary taxonomy reads as Professional Counselor. Clinical services aligned with this taxonomy classification.
Is SUSAN HALL located near Bentonville?
SUSAN HALL currently maps to Bentonville, Arkansas in this extract.
When was this NPI issued?
Enumeration for SUSAN HALL is noted as August 18, 2017 where the registry provides it.

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