Individual provider Active NPI

Amy McCray, LPC-I

  • Professional Counselor
  • Surfside Beach, SC
National Provider Identifier
1629441670
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6137 Issued in SC
Practice address
1904 Highway 17 N
Suite C
Surfside Beach, SC 29575-6084
Phone
(843) 232-7671
Fax
(843) 232-7732
NPI assigned
Nov 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6137 SC Primary

Addresses

Primary practice location

1904 Highway 17 N
Suite C
Surfside Beach, SC 29575-6084

Mailing address

1904 Highway 17 N
Suite C
Surfside Beach, SC 29575-6084
Phone (843) 232-7671

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6137SCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1629441670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 HIGHWAY 17 N",
            "address_2": "SUITE C",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295756084",
            "telephone_number": "843-232-7671",
            "fax_number": "843-232-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 HIGHWAY 17 N",
            "address_2": "SUITE C",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295756084",
            "telephone_number": "843-232-7671",
            "fax_number": "843-232-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRAY",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "LPC-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surfside Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.