Active NPI
Anthony Crawley, LPC-A
- Professional Counselor
- Myrtle Beach, SC
National Provider Identifier
1902623283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10145
- Practice address
- 3723 Forestbrook Rd
Myrtle Beach, SC 29588-9254 - Phone
- (843) 504-9972
- NPI assigned
- Sep 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10145 | SC | Primary |
Addresses
Primary practice location
3723 Forestbrook Rd
Myrtle Beach, SC 29588-9254
Mailing address
329 La Patos Dr
Myrtle Beach, SC 29588-8491
Phone (518) 207-7538
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10145 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1902623283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 LA PATOS DR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295888491",
"telephone_number": "518-207-7538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3723 FORESTBROOK RD",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295889254",
"telephone_number": "843-504-9972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWLEY",
"first_name": "ANTHONY",
"credential": "LPC-A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-26",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "10145",
"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 Sep 26, 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.