Active NPI
Alysia A. Vulgaris
- Marriage & Family Therapist
- Conway, SC
National Provider Identifier
1295293819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 164 Waccamaw Medical Park Dr
Conway, SC 29526-8903 - Phone
- (843) 347-5060
- Fax
- (843) 347-3959
- NPI assigned
- Mar 4, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6903 | SC | |
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
164 Waccamaw Medical Park Dr
Conway, SC 29526-8903
Mailing address
164 Waccamaw Medical Park Dr
Conway, SC 29526-8903
Phone (843) 347-5060
Other practice location 1
9630 Scipio Ln
Myrtle Beach, SC 29588-7575
Phone (843) 492-2795
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 |
|---|---|---|---|
| 6903 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553817600000",
"number": "1295293819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 WACCAMAW MEDICAL PARK DR",
"city": "CONWAY",
"state": "SC",
"postal_code": "295268903",
"telephone_number": "843-347-5060",
"fax_number": "843-347-3959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 WACCAMAW MEDICAL PARK DR",
"city": "CONWAY",
"state": "SC",
"postal_code": "295268903",
"telephone_number": "843-347-5060",
"fax_number": "843-347-3959"
}
],
"practiceLocations": [
{
"address_1": "9630 Scipio Ln",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295887575",
"country_code": "US",
"telephone_number": "843-492-2795",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VULGARIS",
"first_name": "ALYSIA",
"middle_name": "A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-04",
"last_updated": "2019-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "6903",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.