Organization Active NPI

Alternative Living Solutions of South Carolina LLC

  • Mental Health Counselor
  • Myrtle Beach, SC
National Provider Identifier
1609463900
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ALTERNATIVE LIVING SOLUTIONS OF SOUTH CAROLINA LLC
Practice address
1501 S Ocean Blvd Ste 839
Myrtle Beach, SC 29577-4545
Phone
(704) 612-0566
Fax
(704) 498-4846
NPI assigned
Dec 21, 2020
Last updated
Dec 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Authorized official

Name
Mrs. Stephanie Renee Shine-Morrison
Title
Ceo
Phone
(704) 612-0566

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X Primary
Professional Counselor 101YP2500X
Case Management Registered Nurse 163WC0400X
Home Health Agency 251E00000X
Home Health Aide 374U00000X

Addresses

Primary practice location

1501 S Ocean Blvd Ste 839
Myrtle Beach, SC 29577-4545

Mailing address

1501 S Ocean Blvd Ste 839
Myrtle Beach, SC 29577-4545
Phone (704) 612-0566

Other identifiers 1

IdentifierTypeStateIssuer
201221-1457506MedicaidSC

Other names 1

  • Alternative Living Solutions of South Carolina Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@alternativelivingsolutions-nc.org Direct

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: info@alternativelivingsolutions-nc.org

Practitioners & affiliated clinicians

Practitioners 1

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": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1609463900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S OCEAN BLVD STE 839",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295774545",
            "telephone_number": "704-612-0566",
            "fax_number": "704-498-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S OCEAN BLVD STE 839",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295774545",
            "telephone_number": "704-612-0566",
            "fax_number": "704-498-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE LIVING SOLUTIONS OF SOUTH CAROLINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "SHINE-MORRISON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-612-0566",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201221-1457506",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@alternativelivingsolutions-nc.org",
            "affiliation": "N",
            "endpointDescription": "Company Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1501 S Ocean Blvd Ste 839",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295774545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Alternative Living Solutions of South Carolina",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.