GRACEFUL TIDES COUNSELING SERVICE LLC
NPI 1982367645
Counselor - Mental Health in Myrtle Beach, SC
About Graceful Tides Counseling Service Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACEFUL TIDES COUNSELING SERVICE LLC (NPI 1982367645) is a healthcare organization registered as a mental health in Myrtle Beach, South Carolina and active in the NPI registry since October 2021. The organization lists Stacy Maloney, Owner Therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Graceful Tides Counseling Service Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Graceful Tides Counseling Service LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Myrtle Beach, SC 29577
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 Graceful Tides Counseling Service LLC's NPI number?
The NPI number for Graceful Tides Counseling Service LLC is 1982367645. It was assigned to this organization in the NPPES registry on October 20, 2021.
Where is Graceful Tides Counseling Service LLC located?
Graceful Tides Counseling Service LLC is located at 1297 Professional Dr Ste 102, Myrtle Beach, SC 29577. The listed phone number is (843) 284-3255.
What is Graceful Tides Counseling Service LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Graceful Tides Counseling Service LLC enrolled in Medicare?
Yes. Graceful Tides Counseling Service LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Graceful Tides Counseling Service LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Graceful Tides Counseling Service 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Graceful Tides Counseling Service LLC accept?
Health plans from BlueCross BlueShield of South Carolina list Graceful Tides Counseling Service 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 Graceful Tides Counseling Service LLC was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Graceful Tides Counseling Service Llc · NPI 1982367645
Mental Health organization in Myrtle Beach, South Carolina. Organization record, active in the CMS NPPES registry since October 20, 2021.
## Identity
- **NPI:** 1982367645 (Entity type: Organization)
- **Enumerated:** October 20, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Stacy Maloney, OWNER THERAPIST
## Practice location
- **Address:** 1297 PROFESSIONAL DR STE 102, Myrtle Beach, SC 29577-5713
- **Phone:** (843) 284-3255
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1982367645) · Data from the CMS NPPES public registry.