Individual provider Active NPI

Alice Paige Lasek, MA, LPC

  • Professional Counselor
  • Myrtle Beach, SC
National Provider Identifier
1740213933
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5367 Issued in SC
Practice address
1335 44TH Ave N
Executive Center - Suite 204
Myrtle Beach, SC 29577-5980
Phone
(843) 907-0678
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X 5367 SC Primary

Addresses

Primary practice location

1335 44TH Ave N
Executive Center - Suite 204
Myrtle Beach, SC 29577-5980

Mailing address

6215 Westwood LN
Myrtle Beach, SC 29588-8111
Phone (843) 236-2006

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5367SCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1740213933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 WESTWOOD LN",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295888111",
            "telephone_number": "843-236-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 44TH AVE N",
            "address_2": "EXECUTIVE CENTER - SUITE 204",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775980",
            "telephone_number": "843-907-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASEK",
        "first_name": "ALICE",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5367",
            "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 Jun 20, 2013; 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.