Active NPI
Amy Walsh
- Mental Health Counselor
- Evans, GA
National Provider Identifier
1659018539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 723 Industrial Park Dr Unit a
Evans, GA 30809-4352 - Phone
- (706) 514-6341
- NPI assigned
- May 12, 2022
- Last updated
- May 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
723 Industrial Park Dr Unit a
Evans, GA 30809-4352
Mailing address
723 Industrial Park Dr Unit A723
Evans, GA 30809-4352
Phone (706) 514-6341
Other names 1
- Amy Walsh
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope and Restoration Counseling, Inc. | Mental Health | Current | Accepting new patients |
Locations
723 Industrial Park Dr
Unit A
Evans, GA 30809
Phone (706) 514-6341
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": "1652313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1659018539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 INDUSTRIAL PARK DR UNIT A723",
"city": "EVANS",
"state": "GA",
"postal_code": "308094352",
"telephone_number": "706-514-6341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 INDUSTRIAL PARK DR UNIT A",
"city": "EVANS",
"state": "GA",
"postal_code": "308094352",
"telephone_number": "706-514-6341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "AMY",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-12",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "WALSH",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.