Individual provider Active NPI

Alicia Hyatt

  • Professional Counselor
  • Greenville, SC
National Provider Identifier
1255972709
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6898 Issued in SC
Practice address
905 Verdae Blvd Ste 202
Greenville, SC 29607-4029
Phone
(864) 522-2100
Fax
(864) 522-2105
NPI assigned
Oct 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6898 SC Primary

Addresses

Primary practice location

905 Verdae Blvd Ste 202
Greenville, SC 29607-4029

Mailing address

905 Verdae Blvd Ste 202
Greenville, SC 29607-4029
Phone (864) 522-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240104000246 VA Practitioner - Mental Health Counselor 2264883206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of South Carolina School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Assessment and Therapy AssociatesGroup PAC ID 2062581481, 21 clinicians

Practice addresses (Care Compare)

1545 Crossways Blvd
Suite 250
Chesapeake, VA 23320-0218
Phone (757) 206-2772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6898SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Assessment & Therapy Associates PC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1545 Crossways Blvd
Ste 250
Chesapeake, VA 23320
Phone (757) 206-2772

1545 Crossways Blvd
Chesapeake, VA 23320
Phone (757) 309-1405

1545 Crossways Blvd
Ste 25
Chesapeake, VA 23320
Phone (757) 206-2772

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": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1255972709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 VERDAE BLVD STE 202",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074029",
            "telephone_number": "864-522-2100",
            "fax_number": "864-522-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 VERDAE BLVD STE 202",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074029",
            "telephone_number": "864-522-2100",
            "fax_number": "864-522-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYATT",
        "first_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.