Anna Dickinson – Mental Health Counselor

Key facts

NPI: 1104593201
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
Practice address: 901 N Kings Hwy
Myrtle Beach, SC 29577-3722
Phone: (843) 448-4820
NPI assigned: Aug 26, 2021
Sex: Female
Sole proprietor: Yes

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.

Tap in Counseling Professional Counselor · Myrtle Beach, SC · NPI 1326878786

NPD Authorized official
Coastal Samaritan Counseling Center Community/Behavioral Health Agency · Myrtle Beach, SC · NPI 1922189679

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Tap in Counseling		Current since Aug 4, 2024	Accepting new patients
Coastal Samaritan Counseling Center		Current since Aug 29, 2021	Accepting new patients

Locations

901 N Kings Hwy
Myrtle Beach, SC 29577
Phone (843) 448-4820

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X			Yes

Addresses

Primary practice location

901 N Kings Hwy
Myrtle Beach, SC 29577-3722

Mailing address

229 Maidens Choice Rd
Conway, SC 29527-3418

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	adickinson1@liberty.edu

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 26, 2021.

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1104593201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 MAIDENS CHOICE RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295273418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N KINGS HWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773722",
            "telephone_number": "843-448-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adickinson1@liberty.edu",
            "affiliation": "N",
            "address_1": "901 N Kings Hwy",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295773722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Myrtle Beach, SC

All providers in Myrtle Beach, SC · Mental Health Counselor in South Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.