Individual provider Active NPI

Anedra China, ADC, LPC, LCMHC

  • Professional Counselor
  • Myrtle Beach, SC
National Provider Identifier
1083073274
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8303 Issued in SC
Practice address
3100 Dick Pond Rd Ste E
Myrtle Beach, SC 29588-7286
Phone
(803) 470-3866
Fax
(803) 373-1541
NPI assigned
Feb 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 21164 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X E.2606556 OH
Professional Counselor 101YP2500X 8303 SC Primary

Addresses

Primary practice location

3100 Dick Pond Rd Ste E
Myrtle Beach, SC 29588-7286

Mailing address

PO Box 173
Kingstree, SC 29556-0173

Other practice location 1

202 3rd Loop Rd Ste D-3
Florence, SC 29505-3795
Phone (803) 470-3866

Other identifiers 1

IdentifierTypeStateIssuer
PC2740MedicaidSC

Other names 1

  • Ms. Anedra China Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250329000209 NC Practitioner - Mental Health Counselor 1759804842 Reassigns benefits to 1 organization
I20250329000211 SC Practitioner - Mental Health Counselor 1759804842 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8303SCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling by Lasha LLC Professional CurrentSince Nov 13, 2022 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Feb 27, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

202 3rd Loop Rd
Ste D3
Florence, SC 29505
Phone (803) 470-3866

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1083073274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295560173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 DICK POND RD STE E",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887286",
            "telephone_number": "803-470-3866",
            "fax_number": "803-373-1541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 3rd Loop Rd Ste D-3",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295053795",
            "country_code": "US",
            "telephone_number": "803-470-3866",
            "fax_number": "803-373-1541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHINA",
        "first_name": "ANEDRA",
        "name_prefix": "Ms.",
        "credential": "ADC, LPC, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "21164",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2606556",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC2740",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANEDRA",
            "last_name": "CHINA",
            "prefix": "MS.",
            "credential": "NCC, ADC, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.