KRISTIN ASHLIE STATEN HALL LCSW
NPI 1073078705
Social Worker - Clinical in Willmar, MN

Active since February 06, 2019PECOS EnrolledAccepts Medicare Assignment
1125 6TH ST SE, WILLMAR, MN 56201(320) 235-4613(855) 625-7406 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2020, Feb 6, 2019 (2 updates tracked since 2019).

About Kristin Ashlie Staten Hall Lcsw NPPES

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

KRISTIN ASHLIE STATEN HALL LCSW (NPI 1073078705) is an individual clinical provider in Willmar, Minnesota, licensed in Virginia (0904010776) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1073078705
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTIN ASHLIE STATEN HALLCredential: LCSW
Location Address1125 6TH ST SEWillmar, MN 56201-4675
Mailing Address7343 Saint Thomas LoopManassas, VA 20109-7116
Fax(855) 625-7406
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 6, 2019
Last NPPES UpdateJune 24, 20222 updates tracked since enumeration
NPPES CertifiedJune 24, 2022
NPI 1073078705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in VA · 0904010776
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1125 6TH ST SE, Willmar, MN 56201

Other Names 1

Former Name (1)Kristin Ashlie Staten

Secondary Practice Locations 2

Location 17343 Saint Thomas LoopManassas, VA 20109-7116 · Phone (931) 607-0151
Location 27730 Donegan DrManassas, VA 20109-2868 · Phone (571) 208-0592

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kristin Ashlie Staten Hall Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234543372
PECOS Enrollment IDI20220810000446
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
36 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
1125 6TH ST SE
WILLMAR, MN 56201
Marriage & Family Therapist
1125 6TH ST SE
WILLMAR, MN 56201
Social Worker (Clinical)
1125 6TH ST SE
WILLMAR, MN 56201
Social Worker (Clinical)
1125 6TH ST SE
WILLMAR, MN 56201
Social Worker (Clinical)
1125 6TH ST SE
WILLMAR, MN 56201
Psychologist (Clinical)
1125 6TH ST SE
WILLMAR, MN 56201
Social Worker (Clinical)
1125 6TH ST SE
WILLMAR, MN 56201
Clinic/Center (Mental Health (Including Community Mental Health Center))
1125 6TH ST SE
WILLMAR, MN 56201

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 Kristin Staten Hall's NPI number?

The NPI number for Kristin Staten Hall is 1073078705. It was assigned to this individual provider in the NPPES registry on February 6, 2019. The provider is also known as Kristin Ashlie Staten.

Where is Kristin Staten Hall located?

Kristin Staten Hall practices at 1125 6th St SE, Willmar, MN 56201. The listed phone number is (320) 235-4613.

What is Kristin Staten Hall's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kristin Staten Hall enrolled in Medicare?

Yes. Kristin Staten Hall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kristin Staten Hall accept?

Health plans from HealthPartners list Kristin Staten Hall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristin Staten Hall was last updated on June 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.