Active NPI
Amy R Hitchcock
- Mental Health Counselor
- Scottsboro, AL
National Provider Identifier
1972514701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 508 Gregory St
Scottsboro, AL 35768-4239 - Phone
- (256) 256-1771
- Fax
- (256) 259-0761
- NPI assigned
- Aug 10, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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
508 Gregory St
Scottsboro, AL 35768-4239
Mailing address
808 Gant Hill Rd
Scottsboro, AL 35769-4126
Phone (256) 574-4598
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51022246HIT | Other | AL | BCBS |
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 |
|---|---|---|---|
| Marshall-Jackson Mental Health BD., Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mt. Lakes Behavioral Healthcare
- Community/Behavioral Health Agency
- Guntersville, AL
- NPI 1568495588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972514701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 GANT HILL RD",
"city": "SCOTTSBORO",
"state": "AL",
"postal_code": "357694126",
"telephone_number": "256-574-4598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 GREGORY ST",
"city": "SCOTTSBORO",
"state": "AL",
"postal_code": "357684239",
"telephone_number": "256-256-1771",
"fax_number": "256-259-0761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HITCHCOCK",
"first_name": "AMY",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51022246HIT",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsboro, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.