Active NPI
Timothy William Loebs
- Professional Counselor
- Surfside Beach, SC
National Provider Identifier
1114977394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2006
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2006 | SC | MD | Physician 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.