Active NPI
Robert Shepherd Allen, PH.D.
- Professional Counselor
- North Myrtle Beach, SC
National Provider Identifier
1588944706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4
- Practice address
- 801 11TH Ave N
North Myrtle Beach, SC 29582-2644 - Phone
- (843) 902-6943
- NPI assigned
- Aug 18, 2011
- Last updated
- Aug 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4 | SC | Primary |
Addresses
Primary practice location
801 11TH Ave N
North Myrtle Beach, SC 29582-2644
Mailing address
1794 Spinnaker Dr
North Myrtle Beach, SC 29582-6828
Phone (843) 902-6943
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313625600000",
"number": "1588944706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1794 SPINNAKER DR",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295826828",
"telephone_number": "843-902-6943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 11TH AVE N",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295822644",
"telephone_number": "843-902-6943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "ROBERT",
"middle_name": "SHEPHERD",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-18",
"last_updated": "2011-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "4",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Myrtle Beach, SC
- Access Medical Management, Inc (Access Medical Center)
- Advanced Audiology & Hearing AIDS, Inc.
- Aryonna Aekins
- Agape Horizon Homes LLC
- Alan Glass,LLC
- Allied HLTH Ctr of N Myrtle Beach
- Tamra Danielle Almeida, REGISTERED DIETITIAN
- America's Best Contacts & Eyeglasses
- Tracie Ammons Mistry
- Barbie Suggs Anderson, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.