Kristine Kupcha, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1016 2ND Ave N Ste 203C
North Myrtle Beach, SC 29582-3288

Phone

(802) 363-6188

NPI assigned

Oct 1, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Peaceful Waves Counseling LLC

  • Mental Health Counselor
  • North Myrtle Beach, SC
  • NPI 1427743673
  NPD Authorized official
• Lamoille Health Partners Inc.

  • Federally Qualified Health Center (FQHC)
  • Cambridge, VT
  • NPI 1538945001
  NPD (past)

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1174993273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 2ND AVE N STE 203C",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823288",
            "fax_number": "802-888-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 2ND AVE N STE 203C",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823288",
            "telephone_number": "802-363-6188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1016 2nd Ave N Ste 203C",
            "address_purpose": "LOCATION",
            "city": "North Myrtle Beach",
            "state": "SC",
            "postal_code": "295823288",
            "country_code": "US",
            "telephone_number": "802-888-7323",
            "fax_number": "802-888-2393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUPCHA",
        "first_name": "KRISTINE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-01",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Rae King, AU.D.
• Jessica Klippert, LMSW
• Roman Koryakin, FNP, APRN
• Tiffany Marie Krause
• Hayley Addison Krueger, DPT
• Veda Lamar Nichols, LPC-A
• Maggie Reaves Langdale, PHARMD
• Morgan Lee Laprade
• Brian J. Lattimer, DC
• Elizabeth Dawn Lattimer, NP

• 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 Apr 5, 2023; 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.