NPIMap

Organization Active NPI

Susan M. Bulsza LPC, LLC

  • Professional Counselor
  • Myrtle Beach, SC
National Provider Identifier
1255956090
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SUSAN M. BULSZA LPC, LLC
Practice address
Grand Strand Business Center
1293 Professional Drive, Suite 109
Myrtle Beach, SC 29577-5754
Phone
(843) 333-6767
NPI assigned
Jun 8, 2020
Organization subpart
Yes
Parent organization
SUSAN M. BULSZA LPC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Authorized official

Name
Susan M Bulsza, LPCNPI 1285715920
Title
Owner
Phone
(843) 333-6767

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

Grand Strand Business Center
1293 Professional Drive, Suite 109
Myrtle Beach, SC 29577-5754

Mailing address

P.O. Box 50046
Myrtle Beach, SC 29579-0001
Phone (843) 902-0023

National Provider Directory

National Provider Directory
Tax ID family
Susan M Bulsza LPC LLC2 organizations share this tax ID, including this one
Part of
Susan M Bulsza LPC LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1293 Professional Dr
Ste 109
Myrtle Beach, SC 29577
Phone (843) 333-6767

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1255956090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 50046",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295790001",
            "telephone_number": "843-902-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GRAND STRAND BUSINESS CENTER",
            "address_2": "1293 PROFESSIONAL DRIVE, SUITE 109",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775754",
            "telephone_number": "843-333-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN M. BULSZA LPC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUSAN M. BULSZA LPC, LLC",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "BULSZA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-333-6767",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "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 Jun 8, 2020; 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.