Individual provider Active NPI

Amy Dial, MA. ED.

  • Mental Health Counselor
  • Laurinburg, NC
National Provider Identifier
1336493758
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A9331 Issued in NC
Practice address
601B Lauchwood Dr
Laurinburg, NC 28352
Phone
(910) 276-7011
NPI assigned
Nov 7, 2012
Last updated
Aug 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A9331 NC Primary

Addresses

Primary practice location

601B Lauchwood Dr
Laurinburg, NC 28352

Mailing address

162 Ji Rd
Maxton, NC 28364-8526
Phone (910) 734-4611

Other practice location 1

162 Schmidt Ln
Lumber Bridge, NC 28357-9030
Phone (910) 494-5888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240627001861 NC Practitioner - Mental Health Counselor 7214471507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scotland Family Counseling Center, Inc.Group PAC ID 5092157388, 5 clinicians

Practice addresses (Care Compare)

106 McAlpine LN
Laurinburg, NC 28352-4637
Phone (910) 276-7011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A9331NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland Family Counseling Center, Inc. Mental Health CurrentSince Mar 7, 2024 Accepting new patients

Locations

106 McAlpine Ln
Laurinburg, NC 28352
Phone (910) 276-7011

601B Lauchwood Dr
Laurinburg, NC 28352
Phone (910) 276-7011

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1336493758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 JI RD",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "283648526",
            "telephone_number": "910-734-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601B LAUCHWOOD DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "28352",
            "telephone_number": "910-276-7011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "162 Schmidt Ln",
            "address_purpose": "LOCATION",
            "city": "Lumber Bridge",
            "state": "NC",
            "postal_code": "283579030",
            "country_code": "US",
            "telephone_number": "910-494-5888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAL",
        "first_name": "AMY",
        "credential": "MA. ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-07",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A9331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

Verify at the official NPI Registry.