Active NPI
Virginia Eddy
- Professional Counselor
- Myrtle Beach, SC
National Provider Identifier
1043656028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A9099
- Practice address
- 8432 Cape Dutch Loop
Myrtle Beach, SC 29572-8195 - Phone
- (704) 249-0142
- NPI assigned
- May 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A9099 | NC | Primary |
Addresses
Primary practice location
8432 Cape Dutch Loop
Myrtle Beach, SC 29572-8195
Mailing address
8432 Cape Dutch Loop
Myrtle Beach, SC 29572-8195
Phone (704) 249-0142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250116003725 | SC | Practitioner - Mental Health Counselor | 5698203768 | Practice locations: Myrtle Beach, SC |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A9099 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osprey Counseling Solutions, Plllc | Professional | Current | 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.
-
- Professional Counselor
- Waxhaw, NC
- NPI 1598288276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1043656028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8432 CAPE DUTCH LOOP",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295728195",
"telephone_number": "704-249-0142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8432 CAPE DUTCH LOOP",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295728195",
"telephone_number": "704-249-0142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDDY",
"first_name": "VIRGINIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-16",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A9099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.