Active NPI
Sheliza Thompson, LPCA
- Mental Health Counselor
- Myrtle Beach, SC
National Provider Identifier
1285321356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8430
- Practice address
- 630 Chestnut Rd
Myrtle Beach, SC 29572-5502 - Phone
- (843) 945-1452
- NPI assigned
- Apr 19, 2023
- Last updated
- Jul 20, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 8430 | SC | Primary |
Addresses
Primary practice location
630 Chestnut Rd
Myrtle Beach, SC 29572-5502
Mailing address
603 Six Lakes Dr
Myrtle Beach, SC 29588-8836
Phone (843) 222-3470
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 |
|---|---|---|---|
| 8430 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1285321356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 SIX LAKES DR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295888836",
"telephone_number": "843-222-3470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 CHESTNUT RD",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295725502",
"telephone_number": "843-945-1452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "SHELIZA",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-19",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "8430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
- Ellie Thompson, PHARM.D.
- Frances Lindsay Thompson, PSYD
- Joel R Thompson, MD
- Karen Thompson, APRN WHNP
- Kenneth Arthur Thompson, DO
- James K Thornton, DMD
- Thomas Justin Thornton, DO
- Thrasher Psychotherapeutics PA (Thrasher & Associates PA)
- Thrive Chiropractic and Wellness Center
- Thrive Mental Health and Wellness LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.