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COASTAL SAMARITAN COUNSELING CENTER
NPI 1922189679
Community/Behavioral Health in Myrtle Beach, SC

Active since October 18, 2006
1297 PROFESSIONAL DRIVE, STE 101, MYRTLE BEACH, SC 29577(843) 448-4820(843) 448-9875 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Coastal Samaritan Counseling Center NPPES

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

COASTAL SAMARITAN COUNSELING CENTER (NPI 1922189679) is a healthcare organization registered as a community/behavioral health in Myrtle Beach, South Carolina and active in the NPI registry since October 2006. The organization lists Melinda P Tavernier, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1922189679
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOASTAL SAMARITAN COUNSELING CENTER
Location Address1297 PROFESSIONAL DRIVE, STE 101Myrtle Beach, SC 29577-5713
Mailing Address1297 Professional Dr Ste 101Myrtle Beach, SC 29577-5713 · (843) 448-4820 · Fax (843) 448-9875
Phone(843) 448-4820
Fax(843) 448-9875
Organization SubpartNo
Authorized OfficialMelinda P TavernierExecutive Director · (843) 448-4820
Enumeration DateOctober 18, 2006
Last NPPES UpdateNovember 11, 20252 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1922189679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1297 PROFESSIONAL DRIVE, Myrtle Beach, SC 29577
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Other Identifiers 1

MedicaidGP7630SC

Accepted Insurance

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

Coastal Samaritan Counseling Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Coastal Samaritan Counseling Center, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Debra Carnosso, LCSW-R AND LISW-CP
Clinical Social Worker
NPI 1194891127
901 N KINGS HWY
Myrtle Beach, SC 29577
(843) 448-4820
✔ PECOS✔ Accepts Medicare2.8 mi
Michelle Estep
Mental Health Counselor
NPI 1245896653
901 N KINGS HWY
Myrtle Beach, SC 29577
(843) 448-4820
✔ PECOS✔ Accepts Medicare2.8 mi
Carol Fletcher, MSW
Clinical Social Worker
NPI 1295952232
901 N. KINGS HIGHWAY
Myrtle Beach, SC 29577
(843) 448-4820
✔ PECOS✔ Accepts Medicare2.8 mi
Stacy Fraser
Mental Health Counselor
NPI 1285130625
901 N KINGS HWY
Myrtle Beach, SC 29577
(843) 448-4820
✔ PECOS✔ Accepts Medicare2.8 mi
Carol Osment, M.A., M.DIV,
Mental Health Counselor
NPI 1154649986
901 N KINGS HWY
Myrtle Beach, SC 29577
(843) 448-4820
✔ PECOS✔ Accepts Medicare2.8 mi
June Tyson, LCSW-R
Clinical Social Worker
NPI 1902056211
901 N KINGS HWY
Myrtle Beach, SC 29577
(843) 448-4820
✔ PECOS2.8 mi
Charlene Koenig, MA
Mental Health Counselor
NPI 1053194068
330 LAKEVIEW DR
Goshen, IN 46528
(574) 533-1234
✔ PECOS✔ Accepts Medicare664 mi
Kelly Gilmer, LPC
Mental Health Counselor
NPI 1629689237
201 E LOOP 281
Longview, TX 75605
(903) 758-2610
✔ PECOS✔ Accepts Medicare924 mi

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 Coastal Samaritan Counseling Center's NPI number?

The NPI number for Coastal Samaritan Counseling Center is 1922189679. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is Coastal Samaritan Counseling Center located?

Coastal Samaritan Counseling Center is located at 1297 Professional Drive Ste 101, Myrtle Beach, SC 29577. The listed phone number is (843) 448-4820.

What is Coastal Samaritan Counseling Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Coastal Samaritan Counseling Center enrolled in Medicare?

Yes. Coastal Samaritan Counseling Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Samaritan Counseling Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Coastal Samaritan Counseling Center. 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 Mental Health Counselor (5) and Clinical Social Worker (3). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Coastal Samaritan Counseling Center accept?

Health plans from BlueCross BlueShield of South Carolina and Molina Healthcare list Coastal Samaritan Counseling Center 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 Coastal Samaritan Counseling Center was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.