NPIMap

Organization Active NPI

McCarthy Counseling Associates, PA

  • Counselor
  • Myrtle Beach, SC
National Provider Identifier
1649327891
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC#1719 Issued in SC
Legal business name
MCCARTHY COUNSELING ASSOCIATES, PA
Practice address
4603 Oleander Dr
Suite # 1
Myrtle Beach, SC 29577-5738
Phone
(843) 497-5240
Fax
(843) 497-1129
NPI assigned
Jan 3, 2007
Last updated
Jul 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Dr. Robert Edward McCarthy, PHD, LPC, CCMHCNPI 1285659797
Title
Executive Clinical Director
Phone
(843) 497-5240

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC#1719 SC Primary

Addresses

Primary practice location

4603 Oleander Dr
Suite # 1
Myrtle Beach, SC 29577-5738

Mailing address

4603 Oleander Dr
Suite # 1
Myrtle Beach, SC 29577-5738
Phone (843) 497-5240

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120830000255 SC Part B Supplier - Clinic/Group Practice 9335396134 Practice locations: Myrtle Beach, SC

National Provider Directory

National Provider Directory

Locations

4603 Oleander Dr
Ste 1
Myrtle Beach, SC 29577
Phone (843) 497-5240

4603 Oleander Dr
Ste 2
Myrtle Beach, SC 29577
Phone (843) 497-5240

Practitioners & affiliated clinicians

Practitioners 6

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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1649327891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4603 OLEANDER DR",
            "address_2": "SUITE # 1",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775738",
            "telephone_number": "843-497-5240",
            "fax_number": "843-497-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4603 OLEANDER DR",
            "address_2": "SUITE # 1",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775738",
            "telephone_number": "843-497-5240",
            "fax_number": "843-497-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCARTHY COUNSELING ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "EXECUTIVE CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "843-497-5240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC, CCMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "LPC#1719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 16, 2009; 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.