Individual provider Active NPI

Amy Louise Hamilton, PSYD

  • Mental Health Counselor
  • Erie, PA
National Provider Identifier
1124362595
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007768 Issued in PA
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

Updated by the provider on Nov 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240426000317 GA Practitioner - Mental Health Counselor 3971943747 Reassigns benefits to 1 organization

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
Counseling Services of Atlanta LLCGroup PAC ID 8820438716, 15 clinicians

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

LicenseStateTypeSpecialty
LPC004110GAMDMental Health Counselor
007768PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Services of Atlanta, LLC CurrentSince Apr 4, 2024 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.

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

Verify at the official NPI Registry.