Active NPI
Gary Hamilton, MSW, LSW, CADC, QMHP
- Addiction (Substance Use Disorder) Counselor
- Eldorado, IL
National Provider Identifier
1043584923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 150.006229
- Practice address
- 1412 US Highway 45 N
Eldorado, IL 62930-3766 - Phone
- (618) 273-3326
- Fax
- (618) 273-2808
- NPI assigned
- Feb 24, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 150.006229 | IL | Primary |
Addresses
Primary practice location
1412 US Highway 45 N
Eldorado, IL 62930-3766
Mailing address
1412 US Highway 45 N
Eldorado, IL 62930-3766
Phone (618) 273-3326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.006229 | IL | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330041600000",
"number": "1043584923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 US HIGHWAY 45 N",
"city": "ELDORADO",
"state": "IL",
"postal_code": "629303766",
"telephone_number": "618-273-3326",
"fax_number": "618-273-2808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 US HIGHWAY 45 N",
"city": "ELDORADO",
"state": "IL",
"postal_code": "629303766",
"telephone_number": "618-273-3326",
"fax_number": "618-273-2808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "GARY",
"credential": "MSW, LSW, CADC, QMHP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-24",
"last_updated": "2012-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "150.006229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eldorado, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.