Individual provider Active NPI

Cynthia Roark McKeever, LPC-S

  • Professional Counselor
  • Myrtle Beach, SC
National Provider Identifier
1093321150
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
2411 N Oak St Ste 403M
Myrtle Beach, SC 29577-3165
Phone
(843) 443-3172
Fax
(843) 805-6563
NPI assigned
Sep 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 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 Primary

Addresses

Primary practice location

2411 N Oak St Ste 403M
Myrtle Beach, SC 29577-3165

Mailing address

2411 N Oak St Ste 403M
Myrtle Beach, SC 29577-3165
Phone (843) 443-3172

Other identifiers 1

IdentifierTypeStateIssuer
7545OtherSCLPC LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 4, 2025 through Mar 4, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7545SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Serentity Counseling & Learning Center LLC CurrentSince Sep 25, 2022 Accepting new patients

Locations

2411 N Oak St
Ste 403M
Myrtle Beach, SC 29577
Phone (843) 443-3172

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.

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1093321150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 N OAK ST STE 403M",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773165",
            "telephone_number": "843-443-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 N OAK ST STE 403M",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773165",
            "telephone_number": "843-443-3172",
            "fax_number": "843-805-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEEVER",
        "first_name": "CYNTHIA",
        "middle_name": "ROARK",
        "name_prefix": "Mrs.",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE #",
            "identifier": "7545",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.