Individual provider Active NPI

Sandra Elaine Quast, LPC

  • Mental Health Counselor
  • Myrtle Beach, SC
National Provider Identifier
1174936702
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6522 Issued in SC
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
6522SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Haven Counseling LLC Mental Health CurrentSince Oct 27, 2019 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.

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.

Verify at the official NPI Registry.