Annemarie Gambla, LPC
Individual provider Active NPI Professional Counselor · Beaufort, SC
NPI 1134717838 · NPPES record last updated Jan 7, 2021
Key facts
- NPI
- 1134717838
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 4181 (SC)
- Practice address
- 82 Dolphin Point Dr
Beaufort, SC 29907-1715 - Phone
- (843) 263-0521
- NPI assigned
- Jan 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- 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 PC
Practice addresses (Care Compare)
220 N Main St
Suite 500
Greenville, SC 29601-2129
Phone (800) 275-3243
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260619000365 | SC | Practitioner - Mental Health Counselor | 5799257853 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4181 | SC | Yes |
Addresses
Primary practice location
82 Dolphin Point Dr
Beaufort, SC 29907-1715
Mailing address
82 Dolphin Point Dr
Beaufort, SC 29907-1715
Phone (843) 263-0521
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4181 | Other | SC | LLR |
Other names
- Annemarie Lamendola
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Gambla314;@gmail.com | Health Information Exchange (HIE) |
Other providers in Beaufort, SC
- Fresenius Medical Care Beaufort County, LLC
- Charles Elliott Friedman
- From Surviving to Thriving, LLC
- Alvina Susan Gadson
- Daylene Galindo Rodriguez
- Kurt Michael Gambla
- Gamble Dentalsmart, PC
- Suzanne Renee Gannon
- Alejandro Jose Garcia Salas
- John Garner
All providers in Beaufort, SC · Professional Counselor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.