Active NPI
Paul Malkasian, M.A.
- Mental Health Counselor
- Murrells Inlet, SC
National Provider Identifier
1003124884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6387
- Practice address
- 5182 Horry Dr
Murrells Inlet, SC 29576-5240 - Phone
- (843) 353-7388
- NPI assigned
- Sep 15, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | 6387 | SC | |
| Mental Health Counselor | 101YM0800X | 6387 | SC | Primary |
Addresses
Primary practice location
5182 Horry Dr
Murrells Inlet, SC 29576-5240
Mailing address
1700 N Ocean Blvd
Myrtle Beach, SC 29577-3216
Phone (508) 269-2888
Other practice location 1
7 Plantation Rd
Plymouth, MA 02360-4725
Phone (508) 746-8949
Other practice location 2
7 Plantation Rd
Plymouth, MA 02360-4725
Phone (508) 746-8949
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1003124884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 N OCEAN BLVD",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295773216",
"telephone_number": "508-269-2888",
"fax_number": "508-796-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5182 HORRY DR",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295765240",
"telephone_number": "843-353-7388"
}
],
"practiceLocations": [
{
"address_1": "7 Plantation Rd",
"address_purpose": "LOCATION",
"city": "Plymouth",
"state": "MA",
"postal_code": "023604725",
"country_code": "US",
"telephone_number": "508-746-8949",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7 Plantation Rd",
"address_purpose": "LOCATION",
"city": "Plymouth",
"state": "MA",
"postal_code": "023604725",
"country_code": "US",
"telephone_number": "508-746-8949",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALKASIAN",
"first_name": "PAUL",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-15",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "6387",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "6387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrells Inlet, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.