Peaceful Waves Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PEACEFUL WAVES COUNSELING LLC

Practice address

1016 2ND Ave N Ste 203C
North Myrtle Beach, SC 29582-3288

Phone

(802) 363-6188

NPI assigned

Apr 5, 2023

Last updated

Apr 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristine Kupcha, LPCNPI 1174993273

Title

Owner

Phone

(802) 363-6188

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristine Kupcha, MA

  • Mental Health Counselor
  • North Myrtle Beach, SC
  • NPI 1174993273
  NPD Authorized official

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1427743673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 2ND AVE N STE 203C",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823288",
            "telephone_number": "802-363-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 2ND AVE N STE 203C",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823288",
            "telephone_number": "802-363-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL WAVES COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "KUPCHA",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-363-6188",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle C Parker, LISW-CP
• Paula B Parnell, FNP
• Shruti Paskar, ND
• Mohit Pawar, BS PHARMACY
• Sandra Lee Payne, APRN
• Michelle Peele
• Nicholas J Pennings, DO
• Robert Perry, RPH
• Kia Persaud, MBBS
• John A Pienkos, CH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.