Individual provider Active NPI

Rebecca Hamilton

  • Mental Health Counselor
  • Mount Pleasant, SC
National Provider Identifier
1639826860
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7931 Issued in SC
Practice address
710 Johnnie Dodds Blvd Ste 200
Mount Pleasant, SC 29464-3045
Phone
(843) 800-1303
Fax
(888) 316-7716
NPI assigned
Mar 8, 2022
Last updated
Oct 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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 7931 SC Primary

Addresses

Primary practice location

710 Johnnie Dodds Blvd Ste 200
Mount Pleasant, SC 29464-3045

Mailing address

1420 Shucker Cir Apt 103
Mount Pleasant, SC 29464-4970
Phone (202) 374-4234

Other practice location 1

176 Croghan Spur Rd Ste 300
Charleston, SC 29407-7556
Phone (843) 619-7989

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
I20241005000097 SC Practitioner - Mental Health Counselor 0244761948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sweetgrass Psychiatry LLCGroup PAC ID 4688932957, 25 clinicians

Practice addresses (Care Compare)

710 Johnnie Dodds Blvd
Suite 200
Mount Pleasant, SC 29464-3045
Phone (843) 800-1303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7931SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetgrass Psychiatry LLC Mental Health CurrentSince Sep 1, 2024 Accepting new patients
Changes Counseling Center, LLC Mental Health PastSince Mar 1, 2022 Accepting new patients

Locations

710 Johnnie Dodds Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (843) 800-1303

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, 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": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1639826860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SHUCKER CIR APT 103",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644970",
            "telephone_number": "202-374-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 JOHNNIE DODDS BLVD STE 200",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643045",
            "telephone_number": "843-800-1303",
            "fax_number": "888-316-7716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 Croghan Spur Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294077556",
            "country_code": "US",
            "telephone_number": "843-619-7989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "7931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.