Individual provider Active NPI

Theresa Elise Sloan, MED LPC LAC CCMHC

  • Mental Health Counselor
  • Myrtle Beach, SC
National Provider Identifier
1093730632
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
106 Lansford CT Ste 200
Myrtle Beach, SC 29588-3501
Phone
(843) 983-1655
Fax
(843) 983-1665
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X 3750 SC
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

106 Lansford CT Ste 200
Myrtle Beach, SC 29588-3501

Mailing address

106 Lansford CT Ste 200
Myrtle Beach, SC 29588-3501
Phone (843) 983-1655

Other names 1

  • Theresa Elise McCarthy Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240506001380 SC Practitioner - Mental Health Counselor 5597105791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

106 Lansford CT
Suite 200
Myrtle Beach, SC 29588-3501
Phone (843) 983-1655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
3750SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Springs Counseling LLC Addiction (Substance Use Disorder) CurrentSince Feb 26, 2024 Accepting new patients
McCarthy Counseling Associates, PA Counselor PastSince Jan 2, 2019 Accepting new patients

Locations

106 Lansford Ct
Ste 200
Myrtle Beach, SC 29588
Phone (843) 318-6619

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1093730632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 LANSFORD CT STE 200",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295883501",
            "telephone_number": "843-983-1655",
            "fax_number": "843-983-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LANSFORD CT STE 200",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295883501",
            "telephone_number": "843-983-1655",
            "fax_number": "843-983-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "THERESA",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "MED LPC LAC CCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "3750",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "MCCARTHY",
            "middle_name": "ELISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.