Organization Active NPI

Your Therapy Works LLC,

  • Mental Health Counselor
  • Myrtle Beach, SC
National Provider Identifier
1194310664
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
YOUR THERAPY WORKS LLC,
Practice address
4325 Dick Pond Rd Ste C
Myrtle Beach, SC 29588-6810
Phone
(843) 655-7463
NPI assigned
Mar 5, 2021
Last updated
Mar 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Authorized official

Name
Mrs. Elena Huttenlocher, LISW-CPNPI 1194175992
Title
Director
Phone
(843) 655-7463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4325 Dick Pond Rd Ste C
Myrtle Beach, SC 29588-6810

Mailing address

4325 Dick Pond Rd Ste C
Myrtle Beach, SC 29588-6810
Phone (843) 655-7463

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Elena@yourtherapyworks.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

4325 Dick Pond Rd
Ste C
Myrtle Beach, SC 29588
Phone (843) 655-7463

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1194310664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 DICK POND RD STE C",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295886810",
            "telephone_number": "843-655-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 DICK POND RD STE C",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295886810",
            "telephone_number": "843-655-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR THERAPY WORKS LLC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "HUTTENLOCHER",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-655-7463",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Elena@yourtherapyworks.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4325 Dick Pond Rd Ste C",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295886810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 5, 2021; 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.