Active NPI
Max Croteau, LPC
- Mental Health Counselor
- Bluffton, SC
National Provider Identifier
1255839965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7528
- Practice address
- 593 Old Lake Rd
Bluffton, SC 29909-3947 - Phone
- (814) 335-5645
- NPI assigned
- Jan 28, 2018
- Last updated
- Oct 16, 2023
- Sex
- Male
- 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 | 7528 | SC | Primary |
Addresses
Primary practice location
593 Old Lake Rd
Bluffton, SC 29909-3947
Mailing address
593 Old Lake Rd
Okatie, SC 29909-3947
Phone (814) 335-5645
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 |
|---|---|---|---|
| 7528 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1255839965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "593 OLD LAKE RD",
"city": "OKATIE",
"state": "SC",
"postal_code": "299093947",
"telephone_number": "814-335-5645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 OLD LAKE RD",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299093947",
"telephone_number": "814-335-5645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROTEAU",
"first_name": "MAX",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-28",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "7528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.