Laura Hamlette, MS, LPC, CSAC
Individual provider Active NPI Professional Counselor · South Boston, VA
NPI 1801379698 · NPPES record last updated Sep 8, 2018
Key facts
- NPI
- 1801379698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701007846 (VA)
- Practice address
- 424 Hamilton Blvd
South Boston, VA 24592-5200 - Phone
- (434) 572-2936
- NPI assigned
- Sep 8, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Halifax Regional Hospital Inc
Practice addresses (Care Compare)
504 Wilborn Ave
South Boston, VA 24592-3120
Phone (434) 517-3651
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241028002273 | VA | Practitioner - Mental Health Counselor | 0648703702 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701007846 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halifax Regional Hospital, Inc. | Current |
Accepting new patients | |
| Halifax Regional Hospital, Inc | Current |
Accepting new patients | |
| Southside Behavioral Health | Past |
Accepting new patients |
Locations
504 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3400
2204 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701007846 | VA | Yes |
Addresses
Primary practice location
424 Hamilton Blvd
South Boston, VA 24592-5200
Mailing address
1022 Roberts TRL
Halifax, VA 24558-3042
Phone (434) 579-7140
Other providers in South Boston, VA
- Halifax Urgent Care
- Halifaxmed, PLC
- Julie Hall
- Nicholas Robert Hall
- Sherry Lene Hall
- Gahear F Hamlor
- Whitney Minter Harrell
- Samantha Renee Harris
- Michael Kent Haskett
- Michael Quentin Hazelwood
All providers in South Boston, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.