Individual provider Active NPI

Lauren Maierhoffer Amason, MED, NCC, APC

  • Counselor
  • Rincon, GA
National Provider Identifier
1801429212
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
APC006645 Issued in GA
Practice address
1009 N Columbia Ave
Rincon, GA 31326-6828
Phone
(912) 657-9613
NPI assigned
Feb 14, 2020
Last updated
Feb 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X APC006645 GA Primary

Addresses

Primary practice location

1009 N Columbia Ave
Rincon, GA 31326-6828

Mailing address

437 Johnson Dr
Sylvania, GA 30467-0916

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL confidential@heritagerincon.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240118002558 GA Practitioner - Mental Health Counselor 3072965797 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
APC006645GAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Counseling Services, LLC CurrentSince Jan 1, 2024 Accepting new patients
Soulshine Counseling Services, LLC CurrentSince Mar 11, 2025 Accepting new patients
Heritage Counseling, Inc CurrentSince Nov 16, 2022 Accepting new patients
Heritage Counseling PastSince Feb 16, 2020 Accepting new patients

Locations

1009 N Columbia Ave
Rincon, GA 31326
Phone (912) 572-5261

215 Industrial Rd
Sylvania, GA 30467
Phone (912) 209-5941

Organizations & group practices 4

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": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1801429212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 JOHNSON DR",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304670916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N COLUMBIA AVE",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313266828",
            "telephone_number": "912-657-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMASON",
        "first_name": "LAUREN",
        "middle_name": "MAIERHOFFER",
        "credential": "MED, NCC, APC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "APC006645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "confidential@heritagerincon.com",
            "affiliation": "N",
            "address_1": "1009 N Columbia Ave",
            "city": "Rincon",
            "state": "GA",
            "country_code": "US",
            "postal_code": "313266828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rincon, GA

Sources for this page

Verify at the official NPI Registry.