Active NPI
Alternative Living Solutions of South Carolina LLC
- Mental Health Counselor
- Myrtle Beach, SC
National Provider Identifier
1609463900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201221-1457506 | Medicaid | SC |
Other names 1
- Alternative Living Solutions of South Carolina
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@alternativelivingsolutions-nc.org | Direct |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.
-
- Addiction (Substance Use Disorder) Counselor
- Charlotte, NC
- NPI 1184015349
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.