Active NPI
Professional Counseling Associates, Inc.
- Clinical Social Worker
- Myrtle Beach, SC
National Provider Identifier
1023019478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5299
- Legal business name
- PROFESSIONAL COUNSELING ASSOCIATES, INC.
- Practice address
- 1304 C Azalea Court
Myrtle Beach, SC 29577-5723 - Phone
- (843) 997-4022
- Fax
- (843) 215-2444
- NPI assigned
- Aug 9, 2005
- Last updated
- Apr 6, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Louis D Murden, LISW
- Title
- President
- Phone
- (910) 287-4022
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5299 | SC | Primary |
Addresses
Primary practice location
1304 C Azalea Court
Myrtle Beach, SC 29577-5723
Mailing address
1131 Ash Little River Rd
Ash, NC 28420-1717
Phone (910) 287-4022
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Myrtle Beach, SC
- NPI 1932100377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365206400000",
"number": "1023019478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 ASH LITTLE RIVER RD",
"city": "ASH",
"state": "NC",
"postal_code": "284201717",
"telephone_number": "910-287-4022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 C AZALEA COURT",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775723",
"telephone_number": "843-997-4022",
"fax_number": "843-215-2444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL COUNSELING ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-09",
"last_updated": "2013-04-06",
"status": "A",
"authorized_official_last_name": "MURDEN",
"authorized_official_first_name": "LOUIS",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "910-287-4022",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LISW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "5299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
- Sarah Prinzi, M.D.
- PRN Healthcare Staffing, LC
- Proaxis Therapy SC, LLC (ATI Physical Therapy)
- Kel Z Gaskin Prock, MSR, OTR L
- Edward L Proctor Jr., MD
- Monika C Profige
- Progressive Physical Therapy, PA (Progressive Physical Therapy Strand)
- Danielle Marie Prol, M.S.
- PRS 10, LLC (Professional Rehabilitation Services)
- PRS 3, LLC (Professional Rehabilitation Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.