Amy Marion Watkins, LPC, CACII, LPCS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5720 Issued in SC

Practice address

810 Dutch Square Blvd Ste 207
Columbia, SC 29210-7318

Phone

(803) 920-9198

NPI assigned

Dec 31, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Amy Suzanne Marion Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561248000000",
    "number": "1356739155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SEA HAWK CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039044",
            "telephone_number": "803-920-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 DUTCH SQUARE BLVD STE 207",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292107318",
            "telephone_number": "803-920-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "AMY",
        "middle_name": "MARION",
        "credential": "LPC, CACII, LPCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-31",
        "last_updated": "2019-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "415",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "5720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MARION",
            "middle_name": "SUZANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine Guest Waters, DPT
• Kyle D. Waters, PA-C
• Tamara Lynette Waters
• Carroll B Watford, MD
• Allison Watkins, NP-C
• Carolyn Barnette Watkins, M.A.,R.D.,R.N.,C.D.E
• Cecily Watkins
• Kesha Watkins, NP-C
• Taylor Marie Watkins, DC
• Jane Elizabeth Watson Alford, M.D.

• Mental Health Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.