NPIMap

Organization Active NPI

The Counseling Center of Sayebrook

  • Counselor
  • Myrtle Beach, SC
National Provider Identifier
1588124176
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
THE COUNSELING CENTER OF SAYEBROOK
Practice address
106 Lansford Court Suite 202
Myrtle Beach, SC 29588
Phone
(843) 213-2659
NPI assigned
Mar 21, 2019
Last updated
Dec 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
Christopher Dellicarpini, LPCNPI 1902821549
Title
Managing Member
Phone
(828) 279-3699

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU

Addresses

Primary practice location

106 Lansford Court Suite 202
Myrtle Beach, SC 29588

Mailing address

4 Mulberry LN
Mills River, NC 28759-2670
Phone (828) 279-3699

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 843-213-6231

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200214000748 SC Part B Supplier - Clinic/Group Practice 7012343866 Receives reassigned benefits from 3 practitioners
Practice locations: Myrtle Beach, SC

National Provider Directory

National Provider Directory

Locations

106 Lansford Ct
Ste 202
Myrtle Beach, SC 29588
Phone (800) 767-6337

Practitioners & affiliated clinicians

Practitioners 7

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": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1588124176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MULBERRY LN",
            "city": "MILLS RIVER",
            "state": "NC",
            "postal_code": "287592670",
            "telephone_number": "828-279-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LANSFORD COURT SUITE 202",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29588",
            "telephone_number": "843-213-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COUNSELING CENTER OF SAYEBROOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "DELLICARPINI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "828-279-3699",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "843-213-6231",
            "affiliation": "N",
            "address_1": "106 Lansford Court suite 202",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 17, 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.