Individual provider Active NPI

Tara Alesia Taylor, MA, LPC

  • Professional Counselor
  • Myrtle Beach, SC
National Provider Identifier
1174153126
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7716 Issued in SC
Practice address
215 Ronnie CT Ste C
Myrtle Beach, SC 29579-4204
Phone
(843) 894-0000
NPI assigned
Jan 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7716 SC
Professional Counselor 101YP2500X 7716 SC Primary

Addresses

Primary practice location

215 Ronnie CT Ste C
Myrtle Beach, SC 29579-4204

Mailing address

PO Box 16091
Surfside Beach, SC 29587-6091
Phone (843) 894-0000

Other practice location 1

106 Lansford Pl Ste 202
Myrtle Beach, SC 29588-6979
Phone (843) 213-2659

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
I20250327002722 SC Practitioner - Mental Health Counselor 0840713186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oceanic Counseling Group LLCGroup PAC ID 4486067600, 42 clinicians

Practice addresses (Care Compare)

1304 Professional Dr
Suite E
Myrtle Beach, SC 29577-5712
Phone (843) 894-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Oceanic Counseling Group LLC Mental Health CurrentSince Mar 4, 2025 Accepting new patients
Center of Hope of Myrtle Beach, LLC PastSince Feb 1, 2020 Accepting new patients

Locations

11947 Grandhaven Dr
Ste N
Murrells Inlt, SC 29576
Phone (843) 652-4600

1304 Professional Dr
Ste E
Myrtle Beach, SC 29577

215 Ronnie Ct
Ste C
Myrtle Beach, SC 29579
Phone (843) 712-1979

Interoperability endpoints

  • Direct secure messaging: tarataylor@tdh.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1174153126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16091",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295876091",
            "telephone_number": "843-894-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 RONNIE CT STE C",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794204",
            "telephone_number": "843-894-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Lansford Pl Ste 202",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295886979",
            "country_code": "US",
            "telephone_number": "843-213-2659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TARA",
        "middle_name": "ALESIA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "7716",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.