Active NPI
Amy Lee Zanelli, ADC
- Addiction (Substance Use Disorder) Counselor
- Myrtle Beach, SC
National Provider Identifier
1336884055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 104 George Bishop Pkwy
Myrtle Beach, SC 29579-7335 - Phone
- (800) 805-6989
- NPI assigned
- Apr 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
104 George Bishop Pkwy
Myrtle Beach, SC 29579-7335
Mailing address
677 Tupelo LN Unit a
Longs, SC 29568-8958
Phone (845) 978-7284
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://locations.crossroadstreatmentcenters.com/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651104000000",
"number": "1336884055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "677 TUPELO LN UNIT A",
"city": "LONGS",
"state": "SC",
"postal_code": "295688958",
"telephone_number": "845-978-7284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 GEORGE BISHOP PKWY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295797335",
"telephone_number": "800-805-6989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANELLI",
"first_name": "AMY",
"middle_name": "LEE",
"credential": "ADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-28",
"last_updated": "2022-04-28",
"certification_date": "2022-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://locations.crossroadstreatmentcenters.com/",
"affiliation": "N",
"address_1": "104 George Bishop Pkwy",
"city": "Myrtle Beach",
"state": "SC",
"country_code": "US",
"postal_code": "295797335",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.