Annemarie Gambla, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4181 Issued in SC

Practice address

82 Dolphin Point Dr
Beaufort, SC 29907-1715

Phone

(843) 263-0521

NPI assigned

Jan 7, 2021

Last updated

Jan 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Annemarie Lamendola Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Mental Health Counselor

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Che Behavioral Health Services of South Carolina PCGroup PAC ID 1759780380, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Che Behavioral Health Services of South Carolina, P.C.

  • Clinical Psychologist
  • Greenville, SC
  • NPI 1568048833
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1134717838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 DOLPHIN POINT DR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299071715",
            "telephone_number": "843-263-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 DOLPHIN POINT DR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299071715",
            "telephone_number": "843-263-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLA",
        "first_name": "ANNEMARIE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Gambla314;@gmail.com",
            "affiliation": "N",
            "endpointDescription": "PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "82 Dolphin Point Dr",
            "city": "Beaufort",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299071715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANNEMARIE",
            "last_name": "LAMENDOLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Kurt Michael Gambla, DO
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• Suzanne Renee Gannon
• Alejandro Jose Garcia Salas, M.D.
• John Garner, PA

• Professional Counselor in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.

Verify at the official NPI Registry.