Active NPI 1720389091 Individual Practitioner Female Practitioner

Doris Marie Hallam , LPC

Counselor - Professional • Sullivan, MO

Professional Overview & Biography Verified Profile Summary

Doris Hallam, LPC is a registered healthcare professional specializing in Counselor - Professional in Sullivan, MO. Practice services are available at 625 MISSOURI AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

625 Missouri Ave

Sullivan, MO 630801537

Telephone 5734682121

Fax 5734686121

Associated Practice Facility / Clinic

🏢 Lifespan Counseling Center Facility NPI 1093157778

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Sullivan, MO

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 12.0 Yrs

State Avg: 13.5 Yrs

Regional Practice Density

12 Specialists

Practicing in Sullivan, MO (5929 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MO 2008012437

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Npi

101Y00000X (MO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Margaret Foster-Angerillo

Counselor - Mental Health

NPI 1528772282

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location March 28, 2019

Registered at 625 MISSOURI AVE, SULLIVAN, MO 630801537 (Tel: 5734682121)

📍

Updated Business Mailing Address March 28, 2019

Registered at 625 MISSOURI AVE, SULLIVAN, MO 630801537 (Tel: 5734682121)

✅

NPI Profile Active April 10, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location April 10, 2013

Registered at 450 CUMBERLAND WAY STE A, SULLIVAN, MO 630803325 (Tel: 5734682121)

📍

Updated Business Mailing Address April 10, 2013

Registered at 450 CUMBERLAND WAY STE A, SULLIVAN, MO 630803325 (Tel: 5734682121)

👤

Provider Name / Credentials Updated April 10, 2013

Recorded as DORIS HALLAM, L.P.C.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2013

Counselor (License #2008012437 in MO)

🟢

Initial NPI Registration & Enumeration November 03, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720389091

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 03, 2010

Last Update: March 28, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

625 Missouri Ave

Sullivan, MO 630801537

Phone: 5734682121

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.