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MS. MARIE LISE LINDA CONNER LPCA
NPI 1770247280
Counselor - Mental Health in North Myrtle Beach, SC

Active since October 30, 2021PECOS Enrolled
110 YE OLDE KINGS HWY, NORTH MYRTLE BEACH, SC 29582(843) 663-0770 Get Directions Write a Review

NPPES record last updated: October 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Marie Lise Linda Conner Lpca NPPES

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

MS. MARIE LISE LINDA CONNER LPCA (NPI 1770247280) is an individual mental health provider in North Myrtle Beach, South Carolina, licensed in South Carolina (7487) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770247280
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. MARIE LISE LINDA CONNERCredential: LPCA
Location Address110 YE OLDE KINGS HWYNorth Myrtle Beach, SC 29582-4384
Mailing Address3623 Linden StMyrtle Beach, SC 29577-5031 · (859) 457-3082
Phone(843) 663-0770
Sole ProprietorNo
Enumeration DateOctober 30, 2021
NPPES CertifiedOctober 30, 2021
✔ NPI 1770247280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in SC · 7487
110 YE OLDE KINGS HWY, North Myrtle Beach, SC 29582
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Marie Lise Linda Conner Lpca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Marie Lise Conner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Center For Counseling & Wellness
0.7 mi
Mental Health
110 YE OLDE KINGS HWY
North Myrtle Beach, SC 29582
  • Reassigned Medicare billing, South Carolina enrollment
  • 7 clinicians in this Medicare group
NPI 1538439450 (843) 663-0770

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 16

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

SARA L CATO LPC, LAC
Counselor (Professional)
110 YE OLDE KINGS HWY
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 663-0770
MRS. ROBERTA J BOGLE LPC
Counselor (Mental Health)
110 YE OLDE KINGS HWY
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 663-0770
JOSLYN MARIE HAWVER LPC-A
Counselor (Mental Health)
110 YE OLDE KINGS HWY
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 663-0770
VEDA LAMAR NICHOLS LPC-A
Counselor (Mental Health)
110 YE OLDE KINGS HWY
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 663-0770
MRS. LAURA MARTIN MA
Counselor (Mental Health)
110 YE OLDE KINGS HWY
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 663-0770
CHANCE THOMAS MALKASIAN MA
Counselor (Mental Health)
110 YE OLDE KINGS HWY
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 663-0770
MRS. MALLORY FLOWERS COUCH
Counselor (Professional)
110 YE OLDE KINGS HWY
NORTH MYRTLE BEACH, SC 29582
Horry County (832) 663-0770
MELISSA C WOOD MA, LPC
Counselor (Professional)
110 YE OLDE KINGS HWY
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 663-0770

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 Marie Lise Conner's NPI number?

The NPI number for Marie Lise Conner is 1770247280. It was assigned to this individual provider in the NPPES registry on October 30, 2021.

Where is Marie Lise Conner located?

Marie Lise Conner practices at 110 Ye Olde Kings Hwy, North Myrtle Beach, SC 29582. The listed phone number is (843) 663-0770.

What is Marie Lise Conner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Marie Lise Conner enrolled in Medicare?

Yes. Marie Lise Conner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marie Lise Conner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marie Lise Conner reassigns Medicare benefits to Center For Counseling & Wellness (North 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 Marie Lise Conner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marie Lise Conner was last updated on October 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.