Organization Active NPI

Joyful Soul Therapy LLC

  • Professional Counselor
  • Myrtle Beach, SC
National Provider Identifier
1124621750
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
JOYFUL SOUL THERAPY LLC
Practice address
4561 Highway 17 Byp S
Myrtle Beach, SC 29577-6680
Phone
(843) 274-9540
Fax
(843) 293-7685
NPI assigned
Nov 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Josephette Melinda Dotson, LPCNPI 1902426356
Title
LPC
Phone
(843) 274-9540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4561 Highway 17 Byp S
Myrtle Beach, SC 29577-6680

Mailing address

4561 Highway 17 Byp S
Myrtle Beach, SC 29577-6680
Phone (843) 274-9540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250409002692 SC Part B Supplier - Clinic/Group Practice 3173047388 Receives reassigned benefits from 1 practitioner
Practice locations: Myrtle Beach, SC

National Provider Directory

National Provider Directory

Locations

4561 Highway 17 Byp S
Myrtle Beach, SC 29577
Phone (843) 274-9540

5335 N Kings Hwy
Ste 202
Myrtle Beach, SC 29577

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1124621750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4561 HIGHWAY 17 BYP S",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295776680",
            "telephone_number": "843-274-9540",
            "fax_number": "843-293-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4561 HIGHWAY 17 BYP S",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295776680",
            "telephone_number": "843-274-9540",
            "fax_number": "843-293-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOYFUL SOUL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "DOTSON",
        "authorized_official_first_name": "JOSEPHETTE",
        "authorized_official_middle_name": "MELINDA",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "843-274-9540",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.