Individual provider Active NPI

Anthony Hines, LPC

  • Professional Counselor
  • Colonial Heights, VA
National Provider Identifier
1336625557
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
3236 Boulevard
Colonial Heights, VA 23834-1456
Phone
(804) 337-9048
Fax
(804) 668-5569
NPI assigned
Jul 11, 2018
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X VA Primary
Community Health Worker 172V00000X NU
Case Manager/Care Coordinator 171M00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

3236 Boulevard
Colonial Heights, VA 23834-1456

Mailing address

4006 Lazy Stream CT
Chester, VA 23831-6933

Other practice location 1

4006 Lazy Stream Ct
Chester, VA 23831-6933
Phone (757) 769-5329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241024002256 VA Practitioner - Mental Health Counselor 4880127158 Practice locations: Colonial Heights, VA
I20250514003011 FL Practitioner - Mental Health Counselor 4880127158 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comfortcare Solutions LTD Current Accepting new patients
Redirecting Hope Inc Community Health Worker CurrentSince Apr 9, 2025 Accepting new patients
New Hope Youth, LLC CurrentSince May 14, 2023 Accepting new patients

Locations

12708 San Jose Blvd
Ste 1A
Jacksonville, FL 32223
Phone (904) 851-0844

3236 Boulevard
Colonial Hgts, VA 23834
Phone (804) 337-9048

Organizations & group practices 8

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": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1336625557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 LAZY STREAM CT",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238316933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3236 BOULEVARD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341456",
            "telephone_number": "804-337-9048",
            "fax_number": "804-668-5569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4006 Lazy Stream Ct",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "VA",
            "postal_code": "238316933",
            "country_code": "US",
            "telephone_number": "757-769-5329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINES",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-11",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.