NPIMap

Individual provider Active NPI

Holly Hamilton, QMHS

  • Case Manager/Care Coordinator
  • Portsmouth, OH
National Provider Identifier
1487253258
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
901 Washington St
Portsmouth, OH 45662-3944
Phone
(740) 354-7702
Fax
(740) 353-6206
NPI assigned
Oct 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

901 Washington St
Portsmouth, OH 45662-3944

Mailing address

PO Box 1507
Portsmouth, OH 45662-1507
Phone (740) 354-7702

Other practice location 1

225 Carlton Davidson Ln
Coal Grove, OH 45638-2924
Phone (740) 533-0648

Other practice location 2

192 Chestnut Ridge Rd
West Union, OH 45693-9584
Phone (937) 544-5581

Other practice location 3

1225 Gallia St Rm 121
Portsmouth, OH 45662-4216
Phone (740) 354-8608 ext. 121

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mental Health Center Inc CurrentSince Apr 5, 2020 Accepting new patients
Shawnee Mental Health Center, Inc. Past Accepting new patients
Shawnee Mental Health Center, Inc. Past Accepting new patients
Shawnee Mental Health Center, Inc. Past Accepting new patients
Shawnee Mental Health Center, Inc. PastSince Oct 25, 2020 Accepting new patients
Shawnee Mental Health Center, Inc. Past Accepting new patients

Locations

901 Washington St
Portsmouth, OH 45662
Phone (740) 354-7702

1225 Gallia St
Rm 121
Portsmouth, OH 45662
Phone 7403548608 ext. 121

192 Chestnut Ridge Rd
West Union, OH 45693
Phone (937) 544-5581

Organizations & group practices 6

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": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1487253258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1507",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456621507",
            "telephone_number": "740-354-7702",
            "fax_number": "740-353-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WASHINGTON ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623944",
            "telephone_number": "740-354-7702",
            "fax_number": "740-353-6206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Carlton Davidson Ln",
            "address_purpose": "LOCATION",
            "city": "Coal Grove",
            "state": "OH",
            "postal_code": "456382924",
            "country_code": "US",
            "telephone_number": "740-533-0648",
            "fax_number": "740-533-2928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "192 Chestnut Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "West Union",
            "state": "OH",
            "postal_code": "456939584",
            "country_code": "US",
            "telephone_number": "937-544-5581",
            "fax_number": "937-544-7327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 Gallia St Rm 121",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456624216",
            "country_code": "US",
            "telephone_number": "740-354-8608 x121",
            "fax_number": "740-353-6206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "HOLLY",
        "credential": "QMHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.