MADISON HALL
NPI 1104542992
Counselor in Simi Valley, CA

Active since October 13, 2022
2136 CUTLER ST, SIMI VALLEY, CA 93065(805) 527-1166(805) 527-1133 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 1, 2024, Aug 21, 2024, Oct 13, 2022 (3 updates tracked since 2022).

About Madison Hall NPPES

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

MADISON HALL (NPI 1104542992) is an individual counselor in Simi Valley, California, licensed in California (14646) and active in the NPI registry since October 2022. She maintains 2 additional practice locations.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1104542992
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMADISON HALL
Location Address2136 CUTLER STSimi Valley, CA 93065-4923
Mailing Address1672 Casarin AveSimi Valley, CA 93065-4515 · (805) 522-4891
Fax(805) 527-1133
Sole ProprietorYes
Enumeration DateOctober 13, 2022
Last NPPES UpdateOctober 1, 20243 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
NPI 1104542992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in CA · 14646
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedRehabilitation PractitionerTaxonomy 225400000X
2136 CUTLER ST, Simi Valley, CA 93065

Secondary Practice Locations 2

Location 11672 Casarin AveSimi Valley, CA 93065-4515 · Phone (805) 522-4891
Location 24955 Alta StSimi Valley, CA 93063-2452 · Phone (805) 791-3725

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Residential Treatment Facility, Emotionally Disturbed Children
2136 CUTLER ST
SIMI VALLEY, CA 93065
Marriage & Family Therapist
2136 CUTLER ST
SIMI VALLEY, CA 93065
Student in an Organized Health Care Education/Training Program
2136 CUTLER ST
SIMI VALLEY, CA 93065
Marriage & Family Therapist
2136 CUTLER ST
SIMI VALLEY, CA 93065
Student in an Organized Health Care Education/Training Program
2136 CUTLER ST
SIMI VALLEY, CA 93065
Marriage & Family Therapist
2136 CUTLER ST
SIMI VALLEY, CA 93065

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104542992, enumerated as an "individual" on October 13, 2022.

The provider is located at 2136 CUTLER ST SIMI VALLEY, CA 93065 and the phone number is (805) 527-1166.

Counselor with taxonomy code 101Y00000X.