Active NPI
Enable My Child LTD.
- Mental Health Counselor
- Myrtle Beach, SC
National Provider Identifier
1073054961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- ENABLE MY CHILD LTD.
- Practice address
- 22411 N Oak Street Suite 301L
Myrtle Beach, SC 29577-3165 - Phone
- (888) 511-7930
- NPI assigned
- Mar 13, 2017
- Last updated
- Sep 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Syed Mohammed
- Title
- Ceo
- Phone
- (917) 407-6499
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Social Worker | 104100000X | |||
| Pediatric Physical Therapist | 2251P0200X | |||
| Pediatric Occupational Therapist | 225XP0200X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
22411 N Oak Street Suite 301L
Myrtle Beach, SC 29577-3165
Mailing address
26 Hill St # 115
Southampton, NY 11968-5317
Phone (888) 511-7930
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757635200000",
"number": "1073054961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 HILL ST # 115",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119685317",
"telephone_number": "888-511-7930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22411 N OAK STREET SUITE 301L",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295773165",
"telephone_number": "888-511-7930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENABLE MY CHILD LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-13",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A",
"authorized_official_last_name": "MOHAMMED",
"authorized_official_first_name": "SYED",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "917-407-6499"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"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 Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.