Individual provider Active NPI

Felecia Daniels Bellamy, MA, LPC

  • Mental Health Counselor
  • North Myrtle Beach, SC
National Provider Identifier
1790564342
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7831 Issued in SC
Practice address
110 Ye Olde Kings Hwy
North Myrtle Beach, SC 29582-4384
Phone
(843) 663-0770
NPI assigned
Sep 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7831 SC Primary

Addresses

Primary practice location

110 Ye Olde Kings Hwy
North Myrtle Beach, SC 29582-4384

Mailing address

180 Balsa Dr
Longs, SC 29568-8395
Phone (843) 315-9139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Counseling and WellnessGroup PAC ID 1052552973, 4 clinicians

Practice addresses (Care Compare)

110 Ye Olde Kings Hwy
North Myrtle Beach, SC 29582-4384
Phone (843) 663-0770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7831SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Counseling & Wellness Mental Health CurrentSince Oct 1, 2023 Accepting new patients

Locations

110 Ye Olde Kings Hwy
North Myrtle Beach, SC 29582
Phone (843) 663-0770

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1790564342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 BALSA DR",
            "city": "LONGS",
            "state": "SC",
            "postal_code": "295688395",
            "telephone_number": "843-315-9139",
            "fax_number": "843-734-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 YE OLDE KINGS HWY",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295824384",
            "telephone_number": "843-663-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAMY",
        "first_name": "FELECIA",
        "middle_name": "DANIELS",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "7831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.