Individual provider Active NPI

Andrew Robert Michaels

  • Mental Health Counselor
  • Myrtle Beach, SC
National Provider Identifier
1033645163
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007765 Issued in NY
Practice address
2320 Margarita Dr Unit 8201
Myrtle Beach, SC 29577-2053
Phone
(516) 637-9204
NPI assigned
May 10, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 007765 NY Primary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 7232 SC

Addresses

Primary practice location

2320 Margarita Dr Unit 8201
Myrtle Beach, SC 29577-2053

Mailing address

2320 Margarita Dr Unit 8201
Myrtle Beach, SC 29577-2053
Phone (516) 637-9204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2320 Margarita Dr
Unit 8201
Myrtle Beach, SC 29577-2051

535 Mack Ave
Kingsley, MI 49649-9220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007765NYMDMental Health Counselor
7232SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Medical Providers PC Single Specialty 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": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1033645163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 MARGARITA DR UNIT 8201",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772053",
            "telephone_number": "516-637-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 MARGARITA DR UNIT 8201",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772053",
            "telephone_number": "516-637-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELS",
        "first_name": "ANDREW",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-10",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007765",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7232",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.