Individual provider Active NPI

Michael Alan Roycroft, LPC, NCC

  • Professional Counselor
  • Florence, SC
National Provider Identifier
1992025738
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5123 Issued in SC
Practice address
656 S Coit St
Florence, SC 29501-5255
Phone
(843) 610-3069
Fax
(843) 407-1888
NPI assigned
Jun 3, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5123 SC Primary

Addresses

Primary practice location

656 S Coit St
Florence, SC 29501-5255

Mailing address

211 Millstone Rd Apt X
Florence, SC 29505-3954
Phone (843) 610-3069

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240418001629 SC Practitioner - Mental Health Counselor 3173962586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifecare Psychology Group, LLCGroup PAC ID 1850330408, 8 clinicians

Practice addresses (Care Compare)

549 W Evans St
Florence, SC 29501-3407
Phone (843) 667-4949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5123SCMDClinical Social Worker

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1992025738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MILLSTONE RD APT X",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295053954",
            "telephone_number": "843-610-3069",
            "fax_number": "843-407-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 S COIT ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015255",
            "telephone_number": "843-610-3069",
            "fax_number": "843-407-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYCROFT",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-03",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.