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MS. STACY ERIN FRASER
NPI 1285130625
Counselor - Professional in Myrtle Beach, SC

Active since April 04, 2018PECOS EnrolledAccepts Medicare Assignment
901 N KINGS HWY, MYRTLE BEACH, SC 29577(843) 448-4820(843) 448-9875 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Stacy Erin Fraser NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. STACY ERIN FRASER (NPI 1285130625) is an individual professional provider in Myrtle Beach, South Carolina, licensed in South Carolina (7663) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Liberty Univ College Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1285130625
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. STACY ERIN FRASER
Location Address901 N KINGS HWYMyrtle Beach, SC 29577-3722
Mailing Address901 N Kings HwyMyrtle Beach, SC 29577-3722 · (843) 448-4820 · Fax (843) 448-9875
Phone(843) 448-4820
Fax(843) 448-9875
Sole ProprietorNo
Medical School CMSLiberty Univ College Of Osteopathic MedicineGraduated 2018
Enumeration DateApril 4, 2018
Last NPPES UpdateDecember 15, 2020
NPPES CertifiedDecember 15, 2020
✔ NPI 1285130625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in SC · 7663
901 N KINGS HWY, Myrtle Beach, SC 29577
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Molina Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Stacy Erin Fraser is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971949470
PECOS Enrollment IDI20240306003723
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Stacy Fraser reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Coastal Samaritan Counseling Center
2.8 mi
Community/Behavioral Health
1297 PROFESSIONAL DRIVE, STE 101
Myrtle Beach, SC 29577
  • Reassigned Medicare billing, South Carolina enrollment
  • 8 clinicians in this Medicare group
NPI 1922189679 (843) 448-4820

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CAROL JANE OSMENT M.A., M.DIV,
Counselor (Pastoral)
901 N KINGS HWY
MYRTLE BEACH, SC 29577
Horry County (843) 448-4820
DR. WILLIAM H FELDER LPC
Counselor (Pastoral)
901 N KINGS HWY
MYRTLE BEACH, SC 29577
Horry County (843) 448-4820
JEAN HANKINS LPC
Counselor (Professional)
901 N KINGS HWY
MYRTLE BEACH, SC 29577
Horry County (843) 448-4820
DEBRA ANNE CARNOSSO LCSW-R AND LISW-CP
Social Worker (Clinical)
901 N KINGS HWY
MYRTLE BEACH, SC 29577
Horry County (843) 448-4820
MRS. JANET IRENE FILIPOW LPC
Counselor (Mental Health)
901 N KINGS HWY
MYRTLE BEACH, SC 29577
Horry County (843) 448-4820
MICHELLE MAY ESTEP
Counselor (Professional)
901 N KINGS HWY
MYRTLE BEACH, SC 29577
Horry County (843) 448-4820
DR. GARLAND THOMAS VAUGHN
Counselor (Professional)
901 N KINGS HWY
MYRTLE BEACH, SC 29577
Horry County (843) 448-4820
MRS. ELLALEE F. GRAVELY LPC, NCC
Counselor (Professional)
901 N KINGS HWY
MYRTLE BEACH, SC 29577
Horry County (843) 448-4820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Fraser's NPI number?

The NPI number for Stacy Fraser is 1285130625. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Stacy Fraser located?

Stacy Fraser practices at 901 N Kings Hwy, Myrtle Beach, SC 29577. The listed phone number is (843) 448-4820.

What is Stacy Fraser's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Stacy Fraser enrolled in Medicare?

Yes. Stacy Fraser is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Stacy Fraser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Fraser reassigns Medicare benefits to Coastal Samaritan Counseling Center (Myrtle Beach, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacy Fraser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Fraser accept?

Health plans from BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Stacy Fraser as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacy Fraser was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.