NPIMap

Organization Active NPI

Real Counseling, LLC

  • Professional Counselor
  • Myrtle Beach, SC
National Provider Identifier
1518262138
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5204 Issued in SC
Legal business name
REAL COUNSELING, LLC
Practice address
6215 Highway 707
Myrtle Beach, SC 29588-7362
Phone
(843) 273-0077
Fax
(843) 273-0075
NPI assigned
Jan 12, 2011
Last updated
Oct 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Authorized official

Name
Ashley Leigh Everhart, LPCSNPI 1568495737
Title
Licensed Professional Counselor Sup
Phone
(843) 273-0077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5204 SC Primary

Addresses

Primary practice location

6215 Highway 707
Myrtle Beach, SC 29588-7362

Mailing address

PO Box 31447
Myrtle Beach, SC 29588-0025
Phone (843) 273-0077

Other practice location 1

1124 Sea Mountain Hwy Unit 5
North Myrtle Beach, SC 29582-2280
Phone (843) 273-0077

Other identifiers 1

IdentifierTypeStateIssuer
C916OtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131114000332 SC Part B Supplier - Clinic/Group Practice 1759517121 Receives reassigned benefits from 8 practitioners
Practice locations: Myrtle Beach, SC; North Myrtle Beach, SC

National Provider Directory

National Provider Directory

Locations

1124 Sea Mountain Hwy
Unit 5
North Myrtle Beach, SC 29582
Phone (843) 273-0077

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1518262138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31447",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295880025",
            "telephone_number": "843-273-0077",
            "fax_number": "843-273-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 HIGHWAY 707",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887362",
            "telephone_number": "843-273-0077",
            "fax_number": "843-273-0075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1124 Sea Mountain Hwy Unit 5",
            "address_purpose": "LOCATION",
            "city": "North Myrtle Beach",
            "state": "SC",
            "postal_code": "295822280",
            "country_code": "US",
            "telephone_number": "843-273-0077",
            "fax_number": "843-273-0075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REAL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "EVERHART",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR SUP",
        "authorized_official_telephone_number": "843-273-0077",
        "authorized_official_credential": "LPCS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C916",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.