Roberta J Bogle, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5005 Issued in SC

Practice address

110 Ye Olde Kings Hwy
North Myrtle Beach, SC 29582-3050

Phone

(843) 663-0770

Fax

(843) 663-0772

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Roberta J Glenn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Counseling and WellnessGroup PAC ID 1052552973, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Center for Counseling & Wellness

  • Mental Health Counselor
  • North Myrtle Beach, SC
  • NPI 1538439450
  Care Compare group Authorized official
• Calm and Focused Therapy PLLC

  dba Calm and Focused Therapy

  • Clinical Social Worker
  • Garner, NC
  • NPI 1033921119

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321747200000",
    "number": "1144306747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 YE OLDE KINGS HWY",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823050",
            "telephone_number": "843-663-0770",
            "fax_number": "843-663-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 YE OLDE KINGS HWY",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823050",
            "telephone_number": "843-663-0770",
            "fax_number": "843-663-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGLE",
        "first_name": "ROBERTA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2011-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E0008241",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "5005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERTA",
            "last_name": "GLENN",
            "middle_name": "J",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ariana Benjamin, LMT, CFT
• Magdalena Berrios
• Better Days Health & Wellness, LLC
• Bio-Medical Applications of South Carolina, Inc (FMC Dialysis Services North Myrtle Beach)
• Jessica Black
• Sondra Marie Booth, LPC
• Bonnie Allen Bottoms, P.T.A.
• Kayla L Bracey
• Jerry Bridgers
• Nicole Brown

• Mental Health Counselor in North Myrtle Beach, SC
• Providers in North Myrtle Beach, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2011; 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.

Verify at the official NPI Registry.