Individual provider Active NPI

Alice Dee Mays, MA, LPC, BC-TMH, NCC

  • Professional Counselor
  • Myrtle Beach, SC
National Provider Identifier
1043790108
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7557 Issued in SC
Practice address
2734 Beaver Run Blvd BLDG B232
Myrtle Beach, SC 29575-5392
Phone
(843) 868-5565
Fax
(843) 242-0329
NPI assigned
Aug 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7557 SC Primary

Addresses

Primary practice location

2734 Beaver Run Blvd BLDG B232
Myrtle Beach, SC 29575-5392

Mailing address

132 Molinia Dr
Murrells Inlet, SC 29576-8692
Phone (843) 622-6262

Other identifiers 1

IdentifierTypeStateIssuer
PC2288MedicaidSC

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7557SCMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1043790108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 MOLINIA DR",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295768692",
            "telephone_number": "843-622-6262",
            "fax_number": "843-242-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2734 BEAVER RUN BLVD BLDG B232",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295755392",
            "telephone_number": "843-868-5565",
            "fax_number": "843-242-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYS",
        "first_name": "ALICE",
        "middle_name": "DEE",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, BC-TMH, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC2288",
            "state": "SC"
        }
    ],
    "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 Sep 30, 2024; 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.