William Amos Immel, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC002725 Issued in GA

Practice address

3025 Bull St Ste 250
Savannah, GA 31405-2016

Phone

(912) 401-9500

NPI assigned

Jan 2, 2007

Last updated

Jul 31, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• William Amos Immel

  • Community/Behavioral Health Agency
  • Savannah, GA
  • NPI 1316573165
  NPD Authorized official

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1801953500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 SHIPWRECK CT",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314102112",
            "telephone_number": "912-401-9500",
            "fax_number": "404-585-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 BULL ST STE 250",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314052016",
            "telephone_number": "912-401-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Oglethorpe Professional Blvd",
            "address_2": "S-1",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314063608",
            "country_code": "US",
            "telephone_number": "912-352-7638",
            "fax_number": "912-352-7492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMMEL",
        "first_name": "WILLIAM",
        "middle_name": "AMOS",
        "name_prefix": "Mr.",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC002725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Savannah, GA
• Providers in Savannah, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.