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ADVANCED PRACTICE MENTAL HEALTH AND WELLNESS OF SOUTH CAROLINA L.L.C.
NPI 1720762503
Nurse Practitioner - Psychiatric/Mental Health in Myrtle Beach, SC

Active since June 13, 2023CLIA Certified · 2 labs
630 CHESTNUT RD STE 14, MYRTLE BEACH, SC 29572(843) 945-1452(843) 945-1489 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 31, 2023, Jun 13, 2023 (2 updates tracked since 2023).

About Advanced Practice Mental Health And Wellness Of South Carolina L.l.c. NPPES

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

ADVANCED PRACTICE MENTAL HEALTH AND WELLNESS OF SOUTH CAROLINA L.L.C. (NPI 1720762503), doing business as Advanced Practice Mental Health And Wellness, is a healthcare organization registered as a psychiatric/mental health in Myrtle Beach, South Carolina and active in the NPI registry since June 2023. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Loris, and lists Laura L Crawford, Owner, as its authorized official.

NPPES Registry Identity

NPI1720762503
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameADVANCED PRACTICE MENTAL HEALTH AND WELLNESS OF SOUTH CAROLINA L.L.C.
Location Address630 CHESTNUT RD STE 14Myrtle Beach, SC 29572-5502
Mailing Address630 Chestnut Rd Ste 14Myrtle Beach, SC 29572-5502 · (843) 945-1452
Phone(843) 945-1452
Fax(843) 945-1489
Organization SubpartNo
Authorized OfficialLaura L CrawfordOwner · (843) 945-1452
Enumeration DateJune 13, 2023
Last NPPES UpdateAugust 31, 20232 updates tracked since enumeration
NPPES CertifiedAugust 31, 2023
✔ NPI 1720762503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
630 CHESTNUT RD STE 14, Myrtle Beach, SC 29572
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Other Names 1

Former Legal Business NameAdvanced Practice Mental Health And Wellness

Secondary Practice Location 1

Location 13997 Meeting St Ste BLoris, SC 29569-3053 · Phone (843) 945-1452 · Fax (843) 945-1489

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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)

Advanced Practice Mental Health And Wellness Of South Carolina L.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Advanced Practice Mental Health And Wellness Of South Carolina L.L.C., 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 (9)

Ashley Harrell, PMHNP
Nurse Practitioner
NPI 1396110599
630 CHESTNUT RD
Myrtle Beach, SC 29572
(843) 945-1452
✔ PECOS✔ Accepts MedicareSame address
Lisa Helms, LPC
Mental Health Counselor
NPI 1467921874
630 CHESTNUT RD
Myrtle Beach, SC 29572
(843) 945-1452
✔ PECOSSame address
Vicki Chacon, FNP-C
Nurse Practitioner
NPI 1750922233
1201 48TH AVE N
Myrtle Beach, SC 29577
(843) 450-4429
✔ PECOS✔ Accepts Medicare5.2 mi
Lisa Norton, APRN
Nurse Practitioner
NPI 1114290236
608 16TH AVE N STE G
Myrtle Beach, SC 29577
(843) 501-1099
✔ PECOS✔ Accepts Medicare7.5 mi
Karen Gatwood, APRN
Nurse Practitioner
NPI 1609531516
1800 AIRPARK DR
Myrtle Beach, SC 29577
(843) 477-0177
✔ PECOS11 mi
Elena Huttenlocher, LMSW
Clinical Social Worker
NPI 1194175992
164 WACCAMAW MEDICAL PARK DR
Conway, SC 29526
(843) 347-5060
✔ PECOS✔ Accepts Medicare12 mi
Elisabeth Barnett
Nurse Practitioner
NPI 1508667122
1301 MAIN ST
Conway, SC 29526
(843) 703-1027
✔ PECOS✔ Accepts Medicare16 mi
Dorie Weaver, DNP FNP-BC PMHNP-BC
Nurse Practitioner
NPI 1548984958
802 W EVANS ST STE B
Florence, SC 29501
(843) 702-6155
✔ PECOS✔ Accepts Medicare64 mi
Kandice Primes, PMHNP-BC
Nurse Practitioner
NPI 1346006376
2141 HOFFMEYER RD STE B
Florence, SC 29501
(843) 945-1452
✔ PECOS65 mi

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2329327

Advanced Practice Mental Health And Wellness Of South Carolina · Loris, SC
Active · expires Aug 26, 2027
CLIA Number42D2329327
Laboratory TypePsychiatry
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorLaura Crawford
Laboratory Phone(843) 945-1452
Laboratory LocationAdvanced Practice Mental Health And Wellness Of South Carolina3997 Meeting Street Suite B, Loris, SC 29569
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2285937

Advanced Practice Mental Health And Wellness Of Sc · Little River, SC
Active · expires Jul 19, 2027
CLIA Number42D2285937
Laboratory TypePractitioner Other
Certificate Effective DateJuly 20, 2025
Certificate Expiration DateJuly 19, 2027
Laboratory DirectorLaura Crawford
Laboratory Phone(843) 945-1452
Laboratory LocationAdvanced Practice Mental Health And Wellness Of Sc630 Chestnut Road, Little River, SC 29566
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Advanced Practice Mental Health And Wellness Of South Carolina L.L.C.'s NPI number?

The NPI number for Advanced Practice Mental Health And Wellness Of South Carolina L.L.C. is 1720762503. It was assigned to this organization in the NPPES registry on June 13, 2023. The provider was formerly known as Advanced Practice Mental Health and Wellness.

Where is Advanced Practice Mental Health And Wellness Of South Carolina L.L.C. located?

Advanced Practice Mental Health And Wellness Of South Carolina L.L.C. is located at 630 Chestnut Rd Ste 14, Myrtle Beach, SC 29572. The listed phone number is (843) 945-1452.

What is Advanced Practice Mental Health And Wellness Of South Carolina L.L.C.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Advanced Practice Mental Health And Wellness Of South Carolina L.L.C. enrolled in Medicare?

Yes. Advanced Practice Mental Health And Wellness Of South Carolina L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Practice Mental Health And Wellness Of South Carolina L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Advanced Practice Mental Health And Wellness Of South Carolina L.L.C.. 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 Nurse Practitioner (7), Clinical Social Worker (1) and Mental Health Counselor (1). 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.

Does Advanced Practice Mental Health And Wellness Of South Carolina L.L.C. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Advanced Practice Mental Health And Wellness Of South Carolina L.L.C. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Advanced Practice Mental Health And Wellness Of South Carolina L.L.C. 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 Advanced Practice Mental Health And Wellness Of South Carolina L.L.C. was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.