Angel Davis Corbin, LPC, LCAS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9733 Issued in NC

Practice address

1551 21St Ave N Ste 17
Myrtle Beach, SC 29577-7496

Phone

(843) 868-6200

Fax

(843) 868-6200

NPI assigned

Oct 10, 2012

Last updated

Aug 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Etheria Counseling LLCGroup PAC ID 0547793978, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Etheria Counseling LLC

  • Mental Health Counselor
  • Myrtle Beach, SC
  • NPI 1609546613

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1699027961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 21ST AVE N STE 17",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295777496",
            "telephone_number": "843-868-6200",
            "fax_number": "843-868-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 21ST AVE N STE 17",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295777496",
            "telephone_number": "843-868-6200",
            "fax_number": "843-868-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "ANGEL",
        "middle_name": "DAVIS",
        "credential": "LPC, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "3242",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "9733",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coping Eap
• Chelsea Faith Copley, M.S., CF-SLP
• Cora South Carolina LLC (CORA Physical Therapy - Socastee)
• Angelique Marie Corbett, CPHT
• Charles E Corbett Jr.
• Christy L Corbin
• Cornerstone Caregiving East LLC
• Stephanie Helbeck Cornfield, MSW
• Timothy J Cornnell, MD
• Jeffrey Corradetti, CPHT

• Mental Health Counselor in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.