Individual provider Active NPI

Timothy William Loebs

  • Professional Counselor
  • Surfside Beach, SC
National Provider Identifier
1114977394
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2006 Issued in SC
Practice address
1945 Glenns Bay Rd
Surfside Beach, SC 29575-4833
Phone
(843) 650-8940
Fax
(843) 651-5398
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 2006 SC Primary

Addresses

Primary practice location

1945 Glenns Bay Rd
Surfside Beach, SC 29575-4833

Mailing address

PO Box 14452
Surfside Beach, SC 29587-4452
Phone (843) 650-8940

Other names 1

  • Mr. Timothy W. Loebs Other 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
I20240320003967 SC Practitioner - Other (Non-Physician) 4385081777 Practice locations: Myrtle Beach, SC

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1558 Running Water Dr
Murrells Inlet, SC 29576-6712

3260 Holmestown Rd
Myrtle Beach, SC 29588-7489
Phone (843) 902-6063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2006SCMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114977394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14452",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295874452",
            "telephone_number": "843-650-8940",
            "fax_number": "843-651-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 GLENNS BAY RD",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295754833",
            "telephone_number": "843-650-8940",
            "fax_number": "843-651-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEBS",
        "first_name": "TIMOTHY",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "2006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIMOTHY",
            "last_name": "LOEBS",
            "middle_name": "W.",
            "prefix": "MR.",
            "credential": "M.A.,  L.P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Surfside Beach, SC

Sources for this page

Verify at the official NPI Registry.