NPIMap

Organization Active NPI

Good Vibes Therapy Center, LLC

  • Professional Counselor
  • Myrtle Beach, SC
National Provider Identifier
1720636905
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GOOD VIBES THERAPY CENTER, LLC
Practice address
141 McDonald CT
Myrtle Beach, SC 29588-6134
Phone
(843) 450-2035
Fax
(843) 294-0318
NPI assigned
Aug 30, 2019
Last updated
Aug 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Authorized official

Name
Megan Nolasco, LPC, NCC, BC-TMHNPI 1295134856
Title
Owner
Phone
(843) 450-2035

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
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

141 McDonald CT
Myrtle Beach, SC 29588-6134

Mailing address

141 McDonald CT
Myrtle Beach, SC 29588-6134
Phone (843) 450-2035

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://theranest.com

National Provider Directory

National Provider Directory

Locations

141 McDonald Ct
Myrtle Beach, SC 29588
Phone (843) 293-5601

Practitioners & affiliated clinicians

Practitioners 7

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": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1720636905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 MCDONALD CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295886134",
            "telephone_number": "843-450-2035",
            "fax_number": "843-294-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MCDONALD CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295886134",
            "telephone_number": "843-450-2035",
            "fax_number": "843-294-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD VIBES THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "NOLASCO",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-450-2035",
        "authorized_official_credential": "LPC, NCC, BC-TMH"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://theranest.com",
            "affiliation": "N",
            "endpointDescription": "Information is provided through practice management system (TheraNest), medicaly information can be shared electronically",
            "address_1": "141 McDonald Ct",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295886134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 30, 2019; 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.