Individual provider Active NPI

Hamilton Peirsol, PSY.D.,C.A.P.,ICAADC

  • Counselor
  • Savannah, GA
National Provider Identifier
1831550565
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C0170 Issued in GA
Practice address
3 Westridge Rd
Savannah, GA 31411-2951
Phone
(912) 372-3700
NPI assigned
Mar 8, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C0170 GA Primary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X 5774 FL

Addresses

Primary practice location

3 Westridge Rd
Savannah, GA 31411-2951

Mailing address

PO Box 13643
Savannah, GA 31416-0643
Phone (912) 372-3700

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
I20240514001382 GA Practitioner - Mental Health Counselor 8820412521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C0170GAMDCounselor
5774FLMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Specialists Addiction (Substance Use Disorder) Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1831550565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13643",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314160643",
            "telephone_number": "912-372-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WESTRIDGE RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314112951",
            "telephone_number": "912-372-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEIRSOL",
        "first_name": "HAMILTON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.,C.A.P.,ICAADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-08",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "C0170",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "5774",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.