Individual provider Active NPI

Sherrie Yang, LCMHC

  • Mental Health Counselor
  • Myrtle Beach, SC
National Provider Identifier
1487245213
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18909 Issued in NC
Practice address
646 Sabre Dr
Myrtle Beach, SC 29579-2305
Phone
(704) 322-2216
NPI assigned
Feb 3, 2021
Reactivated
Aug 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 18909 NC Primary

Addresses

Primary practice location

646 Sabre Dr
Myrtle Beach, SC 29579-2305

Mailing address

646 Sabre Dr
Myrtle Beach, SC 29579-2305
Phone (704) 322-2216

Other practice location 1

231 Commerce St
Greenville, NC 27858-5029
Phone (252) 321-8080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260416001200 NC Practitioner - Mental Health Counselor 9931675022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2416 Bedgood Dr SW
Wilson, NC 27893-8515

646 Sabre Dr
Myrtle Beach, SC 29579-2305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18909NCMDMental Health Counselor

Organizations & group practices 1

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": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1487245213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 SABRE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295792305",
            "telephone_number": "704-322-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 SABRE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295792305",
            "telephone_number": "704-322-2216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 Commerce St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278585029",
            "country_code": "US",
            "telephone_number": "252-321-8080",
            "fax_number": "252-321-7999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "SHERRIE",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "deactivation_date": "2023-06-01",
        "reactivation_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "18909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.