Individual provider Active NPI

Michael A. Hessler Sr., LPC

  • Professional Counselor
  • North Myrtle Beach, SC
National Provider Identifier
1447552971
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6726 Issued in SC
Practice address
1132 Inlet View Dr
North Myrtle Beach, SC 29582-7903
Phone
(908) 591-2271
NPI assigned
Dec 5, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00379600 NJ
Professional Counselor 101YP2500X 6726 SC Primary

Addresses

Primary practice location

1132 Inlet View Dr
North Myrtle Beach, SC 29582-7903

Mailing address

1132 Inlet View Dr
North Myrtle Beach, SC 29582-7903
Phone (908) 591-2271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241120002172 SC Practitioner - Mental Health Counselor 7113452681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Etheria Counseling LLCGroup PAC ID 0547793978, 5 clinicians

Practice addresses (Care Compare)

1551 21St Ave N
Suite 17
Myrtle Beach, SC 29577-7496
Phone (843) 868-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00379600NJMDProfessional Counselor
6726SCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Etheria Counseling LLC CurrentSince Oct 17, 2024 Accepting new patients
Counseling Center for Growth and Development Past Accepting new patients

Locations

1551 21st Ave N
Ste 17
Myrtle Beach, SC 29577
Phone (843) 868-6200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1291507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1447552971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 INLET VIEW DR",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295827903",
            "telephone_number": "908-591-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 INLET VIEW DR",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295827903",
            "telephone_number": "908-591-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESSLER",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-05",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00379600",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.