TIMOTHY ROBERT UNDERWOOD MA
NPI 1942532023
Counselor in Myrtle Beach, SC

Q: What is Timothy Underwood's NPI number?

The NPI number for Timothy Underwood is 1942532023. It was assigned to this individual provider in the NPPES registry on February 1, 2010.

Q: What is Timothy Underwood's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Underwood was last updated on February 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since February 01, 2010PECOS 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: February 1, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Timothy Robert Underwood Ma NPPES

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

TIMOTHY ROBERT UNDERWOOD MA (NPI 1942532023) is an individual counselor in Myrtle Beach, South Carolina and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1942532023

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameTIMOTHY ROBERT UNDERWOODCredential: MA

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 CMSOtherGraduated 2010

Enumeration DateFebruary 1, 2010

✔ NPI 1942532023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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 Ambetter from Absolute Total Care, Ambetter of North Carolina.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy Robert Underwood Ma 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 ID6406342443

PECOS Enrollment IDI20251230000767

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.

Other Providers at the Same Location NPPES 20

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

ANNA DICKINSON

Counselor (Mental Health)