Individual provider Active NPI

Kym Boyles

  • Mental Health Counselor
  • Columbia, SC
National Provider Identifier
1497480156
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
121 Executive Center Dr
Columbia, SC 29210-8417
Phone
(803) 393-7873
NPI assigned
Jul 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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 Primary

Addresses

Primary practice location

121 Executive Center Dr
Columbia, SC 29210-8417

Mailing address

108 Palmetto Park Blvd Ste D
Lexington, SC 29072-7969
Phone (803) 393-7873

Other practice location 1

108 Palmetto Park Blvd Ste D
Lexington, SC 29072-7969
Phone (803) 361-8845

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
I20250203001486 SC Practitioner - Mental Health Counselor 6002345287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oceanic Counseling Group LLCGroup PAC ID 4486067600, 42 clinicians

Practice addresses (Care Compare)

1304 Professional Dr
Suite E
Myrtle Beach, SC 29577-5712
Phone (843) 894-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanic Counseling Group LLC Mental Health CurrentSince Dec 26, 2024 Accepting new patients

Locations

121 Executive Center Dr
Ste 102
Columbia, SC 29210
Phone (803) 234-6134

11947 Grandhaven Dr
Ste N
Murrells Inlt, SC 29576
Phone (843) 652-4600

1304 Professional Dr
Ste E
Myrtle Beach, SC 29577

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": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1497480156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 PALMETTO PARK BLVD STE D",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727969",
            "telephone_number": "803-393-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 EXECUTIVE CENTER DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292108417",
            "telephone_number": "803-393-7873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Palmetto Park Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290727969",
            "country_code": "US",
            "telephone_number": "803-361-8845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYLES",
        "first_name": "KYM",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.