Individual provider Active NPI

Anna Amberg Hicks

  • Mental Health Counselor
  • Columbia, SC
National Provider Identifier
1427240068
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1848 Pineview Dr
Columbia, SC 29209-5085
Phone
(803) 737-8835
Fax
(803) 776-6998
NPI assigned
Aug 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6300 SC
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1848 Pineview Dr
Columbia, SC 29209-5085

Mailing address

1848 Pineview Dr
Columbia, SC 29209-5085
Phone (803) 737-8835

Other names 1

  • Anna Caroline Amberg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240627001352 SC Practitioner - Mental Health Counselor 9537603816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of South Carolina School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2715 Colonial Dr
Columbia, SC 29203-6818
Phone (803) 898-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6300SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Department of Mental Health Accounting Office CurrentSince May 1, 2024 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince May 1, 2024 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients

Locations

1800 Colonial Dr
Columbia, SC 29203
Phone (803) 898-0123

2715 Colonial Dr
Columbia, SC 29203
Phone (803) 898-4777

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1427240068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 PINEVIEW DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292095085",
            "telephone_number": "803-737-8835",
            "fax_number": "803-776-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 PINEVIEW DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292095085",
            "telephone_number": "803-737-8835",
            "fax_number": "803-776-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "ANNA",
        "middle_name": "AMBERG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6300",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "AMBERG",
            "middle_name": "CAROLINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.