ETHERIA COUNSELING LLC
NPI 1609546613
Counselor - Mental Health in Myrtle Beach, SC
About Etheria Counseling Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHERIA COUNSELING LLC (NPI 1609546613) is a healthcare organization registered as a mental health in Myrtle Beach, South Carolina and active in the NPI registry since September 2021. The organization lists Angel Corbin, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Etheria Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Etheria Counseling LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Etheria Counseling LLC's NPI number?
The NPI number for Etheria Counseling LLC is 1609546613. It was assigned to this organization in the NPPES registry on September 20, 2021.
Where is Etheria Counseling LLC located?
Etheria Counseling LLC is located at 1551 21st Ave N Ste 17, Myrtle Beach, SC 29577. The listed phone number is (843) 868-6200.
What is Etheria Counseling LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Etheria Counseling LLC enrolled in Medicare?
Yes. Etheria Counseling LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Etheria Counseling LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Etheria Counseling LLC. A 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 the clinician's services. The largest specialties are Clinical Social Worker (4) and Mental Health Counselor (3). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Etheria Counseling LLC accept?
Health plans from BlueCross BlueShield of South Carolina and Molina Healthcare list Etheria Counseling LLC 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 Etheria Counseling LLC was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Etheria Counseling Llc · NPI 1609546613
Mental Health organization in Myrtle Beach, South Carolina. Organization record, active in the CMS NPPES registry since September 20, 2021.
## Identity
- **NPI:** 1609546613 (Entity type: Organization)
- **Enumerated:** September 20, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Angel Corbin, OWNER
## Practice location
- **Address:** 1551 21ST AVE N STE 17, Myrtle Beach, SC 29577-7496
- **Phone:** (843) 868-6200 · **Fax:** (843) 868-6200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (4), Mental Health Counselor (3); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1609546613) · Data from the CMS NPPES public registry.