NPIMap

Organization Active NPI

Susan M. Bulsza, LPC, LLC

  • Professional Counselor
  • Myrtle Beach, SC
National Provider Identifier
1972821577
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SUSAN M. BULSZA, LPC, LLC
Practice address
1304 Azalea CT Ste a
Myrtle Beach, SC 29577-5723
Phone
(843) 449-6261
Fax
(843) 449-8171
NPI assigned
May 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2010

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

Authorized official

Name
Susan M. Bulsza, LPCNPI 1285715920
Title
Manager
Phone
(843) 903-5053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1304 Azalea CT Ste a
Myrtle Beach, SC 29577-5723

Mailing address

PO Box 50046
Myrtle Beach, SC 29579-0001
Phone (843) 903-5053

National Provider Directory

National Provider Directory
Tax ID family
Susan M Bulsza LPC LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1304 Azalea Ct
Ste A
Myrtle Beach, SC 29577
Phone (843) 449-6261

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1972821577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50046",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295790001",
            "telephone_number": "843-903-5053",
            "fax_number": "843-903-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 AZALEA CT STE A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775723",
            "telephone_number": "843-449-6261",
            "fax_number": "843-449-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN M. BULSZA, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-07",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "BULSZA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "843-903-5053",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "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 May 7, 2010; 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.