Sean Otto Hall · Peer Specialist

8932 Jewella Ave, Shreveport, LA 71118-2117

Overview

Sean Otto Hall is a Peer Specialist practicing in Shreveport, Louisiana. The National Provider Identifier (NPI) is #1598611055, which was assigned on March 7, 2026, and the registration record was last updated on March 7, 2026. The practitioner's main practice location is at 8932 Jewella Ave, Shreveport, LA 71118-2117; the contact telephone number is 3182194167. The primary taxonomy of Sean Otto Hall is Peer Specialist (175T00000X). Sean Otto Hall is licensed to practice in the state of Louisiana (#NA).

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Provider Information

NPI 1598611055
Entity Type Individual
Provider Name SEAN OTTO HALL
Gender Male
Credential PSS
Practice Address 8932 Jewella Ave
Shreveport
LA 71118-2117
Practice Telephone 3182194167
Mailing Address 8932 Jewella Ave
Shreveport
LA 71118-2117
Mailing Telephone 3182194167
Certification Date 2026-03-04
Enumeration Date 2026-03-07
Last Update Date 2026-03-07
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y175T00000XPeer SpecialistNALA

Taxonomy Information

Primary Taxonomy

Code 175T00000X
Taxonomy Peer Specialist
Classification Peer Specialist
Grouping Other Service Providers
Definition: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

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Location Information

Street Address 8932 JEWELLA AVE
City SHREVEPORT
State LA
Zip Code 71118-2117
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Ashley Cason 8932 Jewella Ave, Shreveport, LA 71118-2117Case Manager/Care Coordinator2021-08-18
Cheryl Ann Brooks · Cheryl Ann Crow and Schuster 8932 Jewella Ave, Suite A, Shreveport, LA 71118Specialist2022-11-09
Brittany Chantal Allen 8932 Jewella Ave, Shreveport, LA 71118-2117Licensed Practical Nurse2023-10-24
Ronald Richard Bothel 8932 Jewella Ave, Shreveport, LA 71118-2117Clinical Social Worker2022-06-06
Warmeatrice Rabb 8932 Jewella Ave, Shreveport, LA 71118-2117Social Worker2026-04-10
Mary Susan Anders · Mary Susan Brinegar 8932 Jewella Ave, Shreveport, LA 71118-2117Licensed Practical Nurse2023-07-21
Toniya Collins 8932 Jewella Ave, Shreveport, LA 71118-2117Behavior Technician2025-02-25
Hilaree Chloe Olson 8932 Jewella Ave, St A, Shreveport, LA 71118Case Manager/Care Coordinator2022-12-29
Marlaysha Rae'Nae Sophus 8932 Jewella Ave, Shreveport, LA 71118-2117Behavioral Analyst2024-01-18
Phoebe Horak 8932 Jewella Ave, Shreveport, LA 71118-2117Adult Psychiatric/Mental Health Registered Nurse2023-10-24
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Derrick L Stevenson 8924 Jewella Ave, Shreveport, LA 71118-2117Clinical Social Worker2007-04-10

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Tovoras Lee 2715 Macke Place, 135, Shreveport, LA 71118Counselor2016-09-01
Natoria Womack 2715 Mackey Pl Ste., Shreveport, LA 71118Behavioral Analyst2016-09-14
Hannah Mckee Davis 2709 Mackey Lane, Shreveport, LA 71118Pediatrics Physician2023-09-18
Lotts of Love Transportation LLC 9543 Leaside Way, Shreveport, LA 71118Non-emergency Medical Transport (VAN)2021-12-06
N-Motion Logistics LLC 9401 Royalton Dr, Shreveport, LA 71118Non-emergency Medical Transport (VAN)2021-10-21
Latosa Hall 9007 Letha Loop, Shreveport, LA 71118Case Manager/Care Coordinator2018-02-01
Aditya Dhirawani Willis Knighton Health Omfs Attn: Valorie Lurry, 2508 Bert Kouns Industrial Loop, Suite 403, Shreveport, LA 71118Student in an Organized Health Care Education/Training Program2025-05-21
Diamond Marie Willis 9403 Mansfield Rd., Shreveport, LA 71118Case Manager/Care Coordinator2019-02-13
Oliver Wayne Patterson Jr. 1713 South Reunion Drve, Shreveport, LA 71118Other Technician2025-01-22
Ebony Allen 8938 Twelve Oaks Dr, Shreveport, LA 71118Mental Health Counselor2015-10-28
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.