Nicole Lynn Haunroth, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

7740 Issued in SC

Practice address

2105 Cromley Cir Ste B
Myrtle Beach, SC 29577-3168

Phone

(843) 995-9025

NPI assigned

Mar 8, 2019

Sex

Female

Sole proprietor

Yes

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

Enrolled in SC

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Couples and Family Counseling and Wellness Center, LLCGroup PAC ID 6709377385, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Couples and Family Counseling & Wellness Center LLC

  • Counselor
  • Myrtle Beach, SC
  • NPI 1558040048
  Medicare reassignment Care Compare group NPD Authorized official
• Kids Counseling and Autism Therapeutic Center Company

  • Mental Health Counselor
  • Myrtle Beach, SC
  • NPI 1881440279
  NPD Authorized official

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1952869950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 CROMLEY CIR STE B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773168",
            "telephone_number": "843-995-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 CROMLEY CIR STE B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773168",
            "telephone_number": "843-995-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUNROTH",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "7740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Kelly Harvey, SLP
• Megan Elvis Haselden, PA-C
• Rachel Hasty
• Sean Patrick Hatfield
• Dennis Haugen, AA-C
• Kimberly Ann Hayes
• Jennifer B Haynes, F.N.P
• Robert H Hazelrigg, MD
• Xin Yu He
• Christopher David Headley, BSN, RN

• Counselor in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.