Individual provider Active NPI

Caleb Daniel Hamilton

  • Mental Health Counselor
  • Columbia, SC
National Provider Identifier
1518454172
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8577 Issued in SC
Practice address
4508 Saint Andrews Road
Ste E Pmb51
Columbia, SC 29210-4144
Phone
(540) 797-3458
NPI assigned
Apr 19, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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 8577 SC Primary

Addresses

Primary practice location

4508 Saint Andrews Road
Ste E Pmb51
Columbia, SC 29210-4144

Mailing address

4508 Saint Andrews Road
Ste E Pmb51
Columbia, SC 29210-4144
Phone (540) 797-3458

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
I20240624000997 SC Practitioner - Mental Health Counselor 9739622341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

955 E Main St
Suite E Pmb2051
Lexington, SC 29072-4296
Phone (540) 797-3458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Caleb Hamilton Counseling Mental Health CurrentSince May 4, 2024 Accepting new patients
Lexington Richland Alcohol & Drug Abuse Council, Inc. PastSince Jan 19, 2023 Accepting new patients

Locations

4508 Saint Andrews Rd
Ste E
Columbia, SC 29210
Phone (540) 797-3458

955 E Main St
Ste E
Lexington, SC 29072
Phone (540) 797-3458

Organizations & group practices 2

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": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1518454172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 SAINT ANDREWS ROAD",
            "address_2": "STE E PMB51",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104144",
            "telephone_number": "540-797-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 SAINT ANDREWS ROAD",
            "address_2": "STE E PMB51",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104144",
            "telephone_number": "540-797-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "CALEB",
        "middle_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-19",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "8577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.