Individual provider Active NPI

Angie Waters Gilstrap, MED

  • Mental Health Counselor
  • Anderson, SC
National Provider Identifier
1477797587
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
121 N Main St Unit 301
Anderson, SC 29621-5661
Phone
(864) 933-3077
NPI assigned
Apr 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

121 N Main St Unit 301
Anderson, SC 29621-5661

Mailing address

121 N Main St Unit 301
Anderson, SC 29621-5661
Phone (864) 933-3077

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
I20240722001295 SC Practitioner - Mental Health Counselor 8628514080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling for Life IncGroup PAC ID 8426490426, 12 clinicians

Practice addresses (Care Compare)

125 Muddy Toes Dr
Anderson, SC 29626-5349
Phone (864) 353-3384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling for Life, Inc. CurrentSince Jul 21, 2024 Accepting new patients

Locations

1209 N Fant St
Anderson, SC 29621
Phone (864) 353-3384

1209 N Fant St
#B
Anderson, SC 29621

125 Muddy Toes Dr
Anderson, SC 29626
Phone (864) 353-3384

Organizations & group practices 1

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": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240272000000",
    "number": "1477797587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N MAIN ST UNIT 301",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215661",
            "telephone_number": "864-933-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N MAIN ST UNIT 301",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215661",
            "telephone_number": "864-933-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILSTRAP",
        "first_name": "ANGIE",
        "middle_name": "WATERS",
        "name_prefix": "Mrs.",
        "credential": "MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.