1. Home
  2. Directory
  3. Illinois
  4. Swansea
  5. Counselor
  6. NPI Profile

DIANDRA DANIELLE HALL BA, MA, LPC
NPI 1003625708
Counselor - Professional in Swansea, IL

Active since January 06, 2025PECOS Enrolled
209 W POINTE DR STE D, SWANSEA, IL 62226(618) 641-3588(618) 671-6503 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Diandra Danielle Hall Ba, Ma, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANDRA DANIELLE HALL BA, MA, LPC (NPI 1003625708) is an individual professional provider in Swansea, Illinois, licensed in Illinois (178.019289) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1003625708
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDIANDRA DANIELLE HALLCredential: BA, MA, LPC
Location Address209 W POINTE DR STE DSwansea, IL 62226-8310
Mailing Address209 W Pointe Dr Ste DSwansea, IL 62226-8310 · (618) 641-3588 · Fax (618) 671-6503
Phone(618) 641-3588
Fax(618) 671-6503
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 6, 2025
NPPES CertifiedJanuary 6, 2025
✔ NPI 1003625708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 178.019289
209 W POINTE DR STE D, Swansea, IL 62226
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diandra Danielle Hall Ba, Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658838826
PECOS Enrollment IDI20260806004686
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Diandra Hall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optimum Mental Health Healing
Same address
Psychiatric/Mental Health
208 W POINTE DR STE B
Swansea, IL 62226
  • Reassigned Medicare billing, Illinois enrollment
  • 7 clinicians in this Medicare group
NPI 1265179477 (618) 641-3588

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEDSIA OMEGA BROWN
Nurse Practitioner (Psychiatric/Mental Health)
209 W POINTE DR STE D
SWANSEA, IL 62226
St. Clair County (618) 641-3588
AIESHA NICOLE MCINTOSH MSW, LCSW
Social Worker (Clinical)
209 W POINTE DR STE D
SWANSEA, IL 62226
St. Clair County (618) 641-3588
MILESTONES BEHAVIORAL HEALTH SERVICES, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
209 W POINTE DR STE D
SWANSEA, IL 62226
St. Clair County (618) 795-7994
JOVONDA MONIQUE WINTERS MA, MA, MSW
Social Worker
209 W POINTE DR STE D
SWANSEA, IL 62226
St. Clair County (618) 593-1148

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diandra Hall's NPI number?

The NPI number for Diandra Hall is 1003625708. It was assigned to this individual provider in the NPPES registry on January 6, 2025.

Where is Diandra Hall located?

Diandra Hall practices at 209 W Pointe Dr Ste D, Swansea, IL 62226. The listed phone number is (618) 641-3588.

What is Diandra Hall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Diandra Hall enrolled in Medicare?

Yes. Diandra Hall is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Diandra Hall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diandra Hall reassigns Medicare benefits to Optimum Mental Health Healing (Swansea, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Diandra Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Diandra Hall was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.