Individual provider Active NPI

Katelynn Hine, LPC, NCC, MA

  • Mental Health Counselor
  • Myrtle Beach, SC
National Provider Identifier
1902527328
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10829 Issued in SC
Practice address
2714 Squealer Lake TRL
Myrtle Beach, SC 29588-8451
Phone
(843) 283-9363
NPI assigned
Sep 5, 2022
Last updated
Apr 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X SC
Mental Health Counselor 101YM0800X 10829 SC Primary

Addresses

Primary practice location

2714 Squealer Lake TRL
Myrtle Beach, SC 29588-8451

Mailing address

2714 Squealer Lake TRL
Myrtle Beach, SC 29588-8451
Phone (843) 283-9363

Other practice location 1

4325 Dick Pond Rd Ste E
Myrtle Beach, SC 29588-6810
Phone (843) 286-3954

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
10829SCMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1902527328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 SQUEALER LAKE TRL",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295888451",
            "telephone_number": "843-283-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 SQUEALER LAKE TRL",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295888451",
            "telephone_number": "843-283-9363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4325 Dick Pond Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295886810",
            "country_code": "US",
            "telephone_number": "843-286-3954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINE",
        "first_name": "KATELYNN",
        "credential": "LPC, NCC, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "10829",
            "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 Apr 11, 2025; 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.