Active NPI
Anthony Hines, LPC
- Professional Counselor
- Colonial Heights, VA
National Provider Identifier
1336625557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfortcare Solutions LTD | Current | Accepting new patients | |
| Redirecting Hope Inc | Community Health Worker | Current | Accepting new patients |
| New Hope Youth, LLC | Current | 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.
-
- Psychiatric Residential Treatment Facility
- Colonial Heights, VA
- NPI 1477024388
-
- Home Health Agency
- Houston, TX
- NPI 1033931134
-
- Case Management Agency
- Allen, TX
- NPI 1184460222
-
- Community/Behavioral Health Agency
- Kannapolis, NC
- NPI 1063296556
-
- Case Management Agency
- Houston, TX
- NPI 1477270130
-
- Case Management Agency
- Dallas, TX
- NPI 1962253641
-
- Case Management Agency
- Baton Rouge, LA
- NPI 1770494858
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.