Active NPI
Amy N Cantley, LPC,CFC
- Professional Counselor
- Murrells Inlet, SC
National Provider Identifier
1730453036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3958
- Practice address
- 3938 Highway 17
Murrells Inlet, SC 29576-5013 - Phone
- (843) 318-0380
- Fax
- (843) 947-0812
- NPI assigned
- Mar 5, 2012
- Last updated
- Jun 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | F16792 | SC | |
| Professional Counselor | 101YP2500X | 3958 | SC | Primary |
Addresses
Primary practice location
3938 Highway 17
Murrells Inlet, SC 29576-5013
Mailing address
3938 Highway 17
Murrells Inlet, SC 29576-5013
Phone (843) 318-0380
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F16792 | SC | MD | Counselor |
| 3958 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myrtle Beach Counseling Center | Current | Accepting new patients | |
| Charleston Counseling Center PC | Professional | Current | Accepting new patients |
Locations
871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137
608 16th Ave N
Ste G
Myrtle Beach, SC 29577
Phone (843) 823-5132
Organizations & group practices 3
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.
-
dba Lifestance Health
- Mental Health Counselor
- Mount Pleasant, SC
- NPI 1316375678
Professional
-
- Professional Counselor
- Murrells Inlet, SC
- NPI 1194112920
-
- Mental Health Counselor
- Myrtle Beach, SC
- NPI 1235784661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1730453036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3938 HIGHWAY 17",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295765013",
"telephone_number": "843-318-0380",
"fax_number": "843-947-0812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3938 HIGHWAY 17",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295765013",
"telephone_number": "843-318-0380",
"fax_number": "843-947-0812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTLEY",
"first_name": "AMY",
"middle_name": "N",
"credential": "LPC,CFC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-05",
"last_updated": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SC",
"license": "F16792",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "3958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murrells Inlet, SC
- Kaitlyn Burnett
- Allison Hope Bussey, LDO. CLDO
- Vered Butbul Benezra, FNP
- Scott D. Callaghan, D.O.
- Vanessa Gentleman Cangialosi, LM, CPM, LMT
- Natalie Young Capozzolo, PHARMD
- Carolina Center for Advanced Dentistry Murrells Inlet, LLC
- Carolina Dental Center R. Jason Meares, DDS, PA
- Carolina Dental Center, Kevin R. Hojnowski, DMD, LLC
- Carolina Family Care, Inc (MUSC Physicians PCP)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.