Active NPI
Amy Louise Hamilton, PSYD
- Mental Health Counselor
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 007768
- Practice address
- 3413 Cherry St
Erie, PA 16508-2678 - Phone
- (814) 868-9828
- Fax
- (814) 868-8561
- NPI assigned
- Nov 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC004110 | GA | |
| Mental Health Counselor | 101YM0800X | 007768 | PA | Primary |
Addresses
Primary practice location
3413 Cherry St
Erie, PA 16508-2678
Mailing address
1910 Sassafras St
Ste 100
Erie, PA 16502-2716
Phone (814) 868-9828
Other practice location 1
4255 Wade Green Rd NW
Suite 414
Kennesaw, GA 30144-1762
Phone (678) 213-2194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
376 Powder Springs St
Suite 240a
Marietta, GA 30064-3499
Phone (678) 444-4505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC004110 | GA | MD | Mental Health Counselor |
| 007768 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Services of Atlanta, LLC | Current | Accepting new patients |
Locations
376 Powder Springs St
Ste 240A
Marietta, GA 30064
Phone (678) 404-4505
4006 Holcomb Bridge Rd
Ste 210
Peachtree Corners, GA 30092
Phone (678) 444-4505
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Marietta, GA
- NPI 1508271024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1124362595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 SASSAFRAS ST",
"address_2": "STE 100",
"city": "ERIE",
"state": "PA",
"postal_code": "165022716",
"telephone_number": "814-868-9828",
"fax_number": "814-868-8561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3413 CHERRY ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165082678",
"telephone_number": "814-868-9828",
"fax_number": "814-868-8561"
}
],
"practiceLocations": [
{
"address_1": "4255 Wade Green Rd NW",
"address_2": "Suite 414",
"address_purpose": "LOCATION",
"city": "Kennesaw",
"state": "GA",
"postal_code": "301441762",
"country_code": "US",
"telephone_number": "678-213-2194",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMILTON",
"first_name": "AMY",
"middle_name": "LOUISE",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-24",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC004110",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "007768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.