Active NPI
Richard Ray McBride, LPCS, LPC, MAC, CCS
- Professional Counselor
- Florence, SC
National Provider Identifier
1043558091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5676
- Practice address
- 1430 S Cashua Dr
Florence, SC 29501-6323 - Phone
- (843) 673-0660
- Fax
- (843) 679-5666
- NPI assigned
- Jan 26, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5676 | SC | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 7579 | TX | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 508445 | SC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1311266 | SC | |
| Professional Counselor | 101YP2500X | 3408 | SC |
Addresses
Primary practice location
1430 S Cashua Dr
Florence, SC 29501-6323
Mailing address
1430 S Cashua Dr
Florence, SC 29501-6323
Phone (843) 673-0660
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1311266 | SC | MD | Addiction (Substance Use Disorder) Counselor |
| 508445 | SC | MD | Addiction (Substance Use Disorder) Counselor |
| 7579 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 5676 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464739200000",
"number": "1043558091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 S CASHUA DR",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295016323",
"telephone_number": "843-673-0660",
"fax_number": "843-679-5666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 S CASHUA DR",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295016323",
"telephone_number": "843-673-0660",
"fax_number": "843-679-5666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "RICHARD",
"middle_name": "RAY",
"credential": "LPCS, LPC, MAC, CCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-26",
"last_updated": "2016-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "5676",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "7579",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "SC",
"license": "508445",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "SC",
"license": "1311266",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "3408",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.