Individual provider Active NPI

Alison Rose Hamilton-Fay, LPC

  • Professional Counselor
  • Clarks Summit, PA
National Provider Identifier
1568245900
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC016047 Issued in PA
Practice address
106 Stone Ave
Clarks Summit, PA 18411-1538
Phone
(570) 904-7363
Fax
(570) 348-4079
NPI assigned
Aug 17, 2023
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC016047 PA Primary

Addresses

Primary practice location

106 Stone Ave
Clarks Summit, PA 18411-1538

Mailing address

500 Main Ave
Clarks Green, PA 18411-2535
Phone (617) 529-4018

Other names 1

  • Ali Hamilton-Fay Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240812002220 PA Practitioner - Mental Health Counselor 9133667942 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC016047PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thaxton Holistic Wellness Center Professional CurrentSince Aug 7, 2024 Accepting new patients

Locations

228 S Main Ave
Scranton, PA 18504
Phone (570) 209-5880

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1568245900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MAIN AVE",
            "city": "CLARKS GREEN",
            "state": "PA",
            "postal_code": "184112535",
            "telephone_number": "617-529-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 STONE AVE",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111538",
            "telephone_number": "570-904-7363",
            "fax_number": "570-348-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON-FAY",
        "first_name": "ALISON",
        "middle_name": "ROSE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC016047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALI",
            "last_name": "HAMILTON-FAY",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clarks Summit, PA

Sources for this page

Verify at the official NPI Registry.