Active NPI
Michael Walsh III, PHD, LPC, CRC
- Professional Counselor
- Bluffton, SC
National Provider Identifier
1992891782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4900
- Practice address
- 64 River Oaks Cir
Bluffton, SC 29910-8202 - Phone
- (843) 304-1662
- Fax
- (843) 757-2931
- NPI assigned
- Oct 5, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 4900 | SC | Primary |
Addresses
Primary practice location
64 River Oaks Cir
Bluffton, SC 29910-8202
Mailing address
64 River Oaks Cir
Bluffton, SC 29910-8202
Phone (843) 304-1662
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4900 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300665600000",
"number": "1992891782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 RIVER OAKS CIR",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299108202",
"telephone_number": "843-304-1662",
"fax_number": "843-757-2931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 RIVER OAKS CIR",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299108202",
"telephone_number": "843-304-1662",
"fax_number": "843-757-2931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PHD, LPC, CRC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2011-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "4900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.