Gretchen Lee Beebe, LPC, NCC
Individual provider Active NPI Counselor · Conway, SC
NPI 1124268172 · NPPES record last updated Mar 14, 2013
Key facts
- NPI
- 1124268172
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 5407 (SC)
- Practice address
- 132 Professional Park Dr
Suite B
Conway, SC 29526-9260 - Phone
- (843) 685-0595
- Fax
- (843) 347-0390
- NPI assigned
- Mar 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Myrtle Beach, SC 29579
Phone (843) 685-7164
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240228004332 | SC | Practitioner - Mental Health Counselor | 3072958198 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5407 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calhoun Counseling, LLC | Current |
Accepting new patients | |
| Coastal Neuropsychiatry, PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 5407 | SC | Yes |
Addresses
Primary practice location
132 Professional Park Dr
Suite B
Conway, SC 29526-9260
Mailing address
132 Professional Park Dr
Suite B
Conway, SC 29526-9260
Phone (843) 685-0595
Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.