Individual provider Active NPI

Richard Ray McBride, LPCS, LPC, MAC, CCS

  • Professional Counselor
  • Florence, SC
National Provider Identifier
1043558091
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5676 Issued in SC
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

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1311266SCMDAddiction (Substance Use Disorder) Counselor
508445SCMDAddiction (Substance Use Disorder) Counselor
7579TXMDAddiction (Substance Use Disorder) Counselor
5676SCMDProfessional 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.

Verify at the official NPI Registry.