Kimberly Dorsey, MA LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9061 Issued in SC

Practice address

101 Prather Park Dr Ste D
Myrtle Beach, SC 29588-3701

Phone

(843) 212-7340

NPI assigned

Apr 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Evolve Therapy Center, LLC

  • Mental Health Counselor
  • Myrtle Beach, SC
  • NPI 1629849906
  NPD Authorized official

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716595200000",
    "number": "1831770528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PINE VALLEY LN",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295754803",
            "telephone_number": "843-450-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PRATHER PARK DR STE D",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295883701",
            "telephone_number": "843-212-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "KIMBERLY",
        "credential": "MA LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "9061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Donjon, PHARM.D.
• Bhavika Dookhi, MD
• Kristin Dorio
• Jennifer Renee Dorman, LPC-A
• Rachel Dorr, DNP
• Hayley Grace Dotson, COTA/L
• Josephette Melinda Dotson, LPC
• Cammy Dou
• Megan Brooke Douglass, MD
• Jeffrey Dowdy, DMD

• 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 May 25, 2024; 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.