Active NPI
Sandra Elaine Quast, LPC
- Mental Health Counselor
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6522
- Practice address
- 220 Ronnie CT Ste 2
Myrtle Beach, SC 29579-4192 - Phone
- (843) 945-0346
- Fax
- (843) 432-3091
- NPI assigned
- Jun 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6522 | SC | Primary |
Addresses
Primary practice location
220 Ronnie CT Ste 2
Myrtle Beach, SC 29579-4192
Mailing address
220 Ronnie CT Ste 2
Myrtle Beach, SC 29579-4192
Phone (843) 945-0346
Other practice location 1
3100 Dick Pond Rd Ste D2
Myrtle Beach, SC 29588-7286
Phone (843) 945-0346
Other practice location 2
164 Waccamaw Medical Park Dr
Conway, SC 29526-8903
Phone (843) 347-4888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6522 | SC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Haven Counseling LLC | Mental Health | Current | Accepting new patients |
Locations
3100 Dick Pond Rd
Ste D2
Myrtle Beach, SC 29588
Phone (843) 945-0346
220 Ronnie Ct
Ste 2
Myrtle Beach, SC 29579
Phone (843) 902-9274
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Myrtle Beach, SC
- NPI 1609314293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1174936702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 RONNIE CT STE 2",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295794192",
"telephone_number": "843-945-0346",
"fax_number": "843-432-3091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 RONNIE CT STE 2",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295794192",
"telephone_number": "843-945-0346",
"fax_number": "843-432-3091"
}
],
"practiceLocations": [
{
"address_1": "3100 Dick Pond Rd Ste D2",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295887286",
"country_code": "US",
"telephone_number": "843-945-0346",
"fax_number": "843-432-3091",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "164 Waccamaw Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Conway",
"state": "SC",
"postal_code": "295268903",
"country_code": "US",
"telephone_number": "843-347-4888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUAST",
"first_name": "SANDRA",
"middle_name": "ELAINE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-11",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "6522",
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.