Organization Active NPI

Elizabeth Nixon, LPC

  • Mental Health Counselor
  • Myrtle Beach, SC
National Provider Identifier
1386980910
Registry record updated Jan 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4625 Issued in SC
Legal business name
ELIZABETH NIXON, LPC
Practice address
4221 Mayfair St
Myrtle Beach, SC 29577-5757
Phone
(843) 455-2258
Fax
(843) 628-4909
NPI assigned
Jan 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2013

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

Authorized official

Name
Ms. Elizabeth R Nixon, LPC, LPC/S
Title
Counselor
Phone
(843) 455-2258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 4625 SC Primary

Addresses

Primary practice location

4221 Mayfair St
Myrtle Beach, SC 29577-5757

Mailing address

4221 Mayfair St
Myrtle Beach, SC 29577-5757
Phone (843) 455-2258

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1356998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356998400000",
    "number": "1386980910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 MAYFAIR ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775757",
            "telephone_number": "843-455-2258",
            "fax_number": "843-628-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 MAYFAIR ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775757",
            "telephone_number": "843-455-2258",
            "fax_number": "843-628-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH NIXON, LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-01",
        "last_updated": "2013-01-01",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "843-455-2258",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, LPC/S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "4625",
            "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 Jan 1, 2013; 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.