Ronald Scott Cassidy, LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

2402 Hunters TRL
Myrtle Beach, SC 29588-8444

Phone

(843) 222-7606

Fax

(843) 449-6851

NPI assigned

Feb 9, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1993

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ronald Cassidy LPC

  • Professional Counselor
  • Myrtle Beach, SC
  • NPI 1962364224
  Medicare reassignment NPD Authorized official
• Mofdaps and Company

  • Psychiatry Physician
  • Myrtle Beach, SC
  • NPI 1144458183
  Medicare reassignment NPD (past)
• The Counseling Center of Georgetown

  • Counselor
  • Georgetown, SC
  • NPI 1497724280
  NPD (past)

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1083987820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 48TH AVE N STE 202",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775425",
            "telephone_number": "843-449-2576",
            "fax_number": "843-449-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 HUNTERS TRL",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295888444",
            "telephone_number": "843-222-7606",
            "fax_number": "843-449-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "RONALD",
        "middle_name": "SCOTT",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-09",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Cartrette
• Marcus Carty, DO
• James Michael Caruso, O.D., F.A.A.O.
• Liberty Price Case, LPC
• Benjamin Andrew Casola, MD
• Joshua J Cassinat, MD
• Lauren Ashley Castagna
• Kori Elizabeth Castellano, RN
• Amber Castleberry
• Carson Castor

• Professional Counselor in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.