Mallory Flowers Couch

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

110 Ye Olde Kings Hwy
North Myrtle Beach, SC 29582-4384

Phone

(832) 663-0770

NPI assigned

Jul 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oceanic Counseling Group LLC

  • Mental Health Counselor
  • Myrtle Beach, SC
  • NPI 1922631522
  NPD (past)

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1396318101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 YE OLDE KINGS HWY",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295824384",
            "telephone_number": "843-496-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 YE OLDE KINGS HWY",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295824384",
            "telephone_number": "832-663-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH",
        "first_name": "MALLORY",
        "middle_name": "FLOWERS",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cora South Carolina LLC (CORA Physical Therapy - North Myrtle Beach)
• Charles Milton Corley Jr.
• Gina N Corley, PHARMD
• Kelly Elizabeth Corley
• Emily Costabile, DPT
• Counseling of the Carolinas
• Craig L. Milburn, DMD LLC (Ocean Drive Dentistry)
• CVS Caremark
• Shannon Marie Cyr
• D. Calvin Riley Jr. DMD PA (Crescent Beach Dental)

• Professional Counselor in North Myrtle Beach, SC
• Providers in North Myrtle Beach, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.