| Oceanic Counseling Group LLC | |
|
215 Ronnie Ct Ste C Myrtle Beach SC 29579-4204 | |
| (843) 894-0000 | |
| (843) 589-9054 |
| Full Name | Oceanic Counseling Group LLC |
|---|---|
| Speciality | Counselor |
| Location | 215 Ronnie Ct Ste C, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Kenza Grace Haddock (COUNSELOR) |
| Authorized Official Contact | 8438556051 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oceanic Counseling Group LLC Po Box 16091 Surfside Beach SC 29587-6091 Ph: (843) 267-4690 | Oceanic Counseling Group LLC 215 Ronnie Ct Ste C Myrtle Beach SC 29579-4204 Ph: (843) 894-0000 |
| NPI Number | 1922631522 |
|---|---|
| Provider Enumeration Date | 02/21/2020 |
| Last Update Date | 12/04/2025 |
| Certification Date | 12/04/2025 |
| Medicare PECOS PAC ID | 4486067600 |
|---|---|
| Medicare Enrollment ID | O20210107002393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922631522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
| Provider Name | Tricia M Payne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356740351 PECOS PAC ID: 1355631029 Enrollment ID: I20160608001790 |
| Provider Name | Bonnie E Priest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831537976 PECOS PAC ID: 8426396573 Enrollment ID: I20190214001876 |
| Provider Name | Diana Loffredo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083035315 PECOS PAC ID: 0042550378 Enrollment ID: I20190322000580 |
| Provider Name | Susan Kraus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790303923 PECOS PAC ID: 2365855103 Enrollment ID: I20210115000480 |
| Provider Name | Melissa Marie Johansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750820973 PECOS PAC ID: 6709299571 Enrollment ID: I20210115001957 |
| Provider Name | Maureen L Hopkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447454681 PECOS PAC ID: 4981698305 Enrollment ID: I20210618001997 |
| Provider Name | Rebecca a Griffith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306450739 PECOS PAC ID: 9537564950 Enrollment ID: I20211027002262 |
| Provider Name | Julie a Denicola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922320258 PECOS PAC ID: 1557498797 Enrollment ID: I20211203002318 |
| Provider Name | June N Collier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851975940 PECOS PAC ID: 4880089002 Enrollment ID: I20220324001210 |
| Provider Name | Gilberto Pagan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114021607 PECOS PAC ID: 1951710961 Enrollment ID: I20230412003131 |
| Provider Name | Michelle Ruth Reinsmith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932783784 PECOS PAC ID: 1254781461 Enrollment ID: I20240102000074 |
| Provider Name | Carrie Towle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144542267 PECOS PAC ID: 7911229729 Enrollment ID: I20240119003058 |
| Provider Name | Tobie Mabe-smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649623166 PECOS PAC ID: 4880989292 Enrollment ID: I20240201004098 |
| Provider Name | Ryan Drafts Corley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558946988 PECOS PAC ID: 7416390380 Enrollment ID: I20240207002735 |
| Provider Name | Courtnie Carolyn Merrill-perry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588111231 PECOS PAC ID: 9537493531 Enrollment ID: I20240207003981 |
| Provider Name | Donna Usner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205176963 PECOS PAC ID: 6901034685 Enrollment ID: I20240208002885 |
| Provider Name | John Kenneth Falls |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689173627 PECOS PAC ID: 1153764758 Enrollment ID: I20240212000617 |
| Provider Name | Austin Jeffords Rowell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689148165 PECOS PAC ID: 8628412012 Enrollment ID: I20240213003511 |
| Provider Name | Donna Leigh Leitner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811037765 PECOS PAC ID: 5597044180 Enrollment ID: I20240222000525 |
| Provider Name | Jerome M Wicker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811430408 PECOS PAC ID: 4789020702 Enrollment ID: I20240313001807 |
| Provider Name | Rayniece K. Pinckney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558880500 PECOS PAC ID: 7618315300 Enrollment ID: I20240401000556 |
| Provider Name | David Thomas Pryor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447341953 PECOS PAC ID: 3375560246 Enrollment ID: I20240403003851 |
| Provider Name | Amanda Dea Mercer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811393747 PECOS PAC ID: 0345581799 Enrollment ID: I20240411002024 |
| Provider Name | Rochelle T Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013763119 PECOS PAC ID: 1456893270 Enrollment ID: I20240607003577 |
| Provider Name | Margaret Sciuva |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518322973 PECOS PAC ID: 3375087059 Enrollment ID: I20240705001465 |
| Provider Name | Anna Kerr Klipowicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487135331 PECOS PAC ID: 8325587025 Enrollment ID: I20240826003856 |
| Provider Name | Kym Boyles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497480156 PECOS PAC ID: 6002345287 Enrollment ID: I20250203001486 |
| Provider Name | Stephanie Ruth Coe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003640160 PECOS PAC ID: 7618499294 Enrollment ID: I20250324002858 |
| Provider Name | Merlyn Lucius |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396570552 PECOS PAC ID: 1052834587 Enrollment ID: I20250326000151 |
| Provider Name | Stacia Schioppa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649659129 PECOS PAC ID: 7012430374 Enrollment ID: I20250327000330 |
| Provider Name | Tara Alesia Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174153126 PECOS PAC ID: 0840713186 Enrollment ID: I20250327002722 |
| Provider Name | Elizabeth Joan Prete |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013067354 PECOS PAC ID: 7517482839 Enrollment ID: I20250420000013 |
| Provider Name | Julie Songer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790598399 PECOS PAC ID: 6103341151 Enrollment ID: I20250422003241 |
| Provider Name | Janell M. Garced |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831773266 PECOS PAC ID: 4082139043 Enrollment ID: I20250422003573 |
| Provider Name | Kimberley Lane Parsons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902166184 PECOS PAC ID: 8022533918 Enrollment ID: I20250423002783 |
| Provider Name | Jessica Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720718240 PECOS PAC ID: 3870019342 Enrollment ID: I20250428002780 |
| Provider Name | Deana Caldwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952776957 PECOS PAC ID: 5991223661 Enrollment ID: I20250516000258 |
| Provider Name | Emily Nichole Ansel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184108086 PECOS PAC ID: 9537679899 Enrollment ID: I20250606001585 |
| Provider Name | Colleen Elizabeth Fulling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063393411 PECOS PAC ID: 2769989201 Enrollment ID: I20251009002075 |
| Provider Name | Megan Weber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528825973 PECOS PAC ID: 9032650346 Enrollment ID: I20251010002181 |
| Provider Name | Nicolette Paul |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548650534 PECOS PAC ID: 6305333196 Enrollment ID: I20251015001513 |
| Provider Name | Mallory Hope Coulter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093231417 PECOS PAC ID: 4082142567 Enrollment ID: I20251023004803 |
| Provider Name | Karen D Houser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437622669 PECOS PAC ID: 0749770451 Enrollment ID: I20251110002510 |
| Provider Name | Erin Collins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952035529 PECOS PAC ID: 7315438439 Enrollment ID: I20251118000019 |
| Provider Name | Karalyn Marie Witherel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184363251 PECOS PAC ID: 9234624040 Enrollment ID: I20251219000239 |
| Provider Name | Kenza Grace Haddock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629610407 PECOS PAC ID: 7416433016 Enrollment ID: I20260116001265 |
| Provider Name | Tamara Lindell Burroughs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972637809 PECOS PAC ID: 9638656309 Enrollment ID: I20260123001724 |
| Provider Name | Denise Cline Kelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821878463 PECOS PAC ID: 5395225023 Enrollment ID: I20260212003327 |
| Provider Name | Bruce Kendrick Lindsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700073129 PECOS PAC ID: 8325340847 Enrollment ID: I20260218000134 |
| Provider Name | Charlotte Storey Drayton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700372349 PECOS PAC ID: 3971088493 Enrollment ID: I20260401002060 |
| Provider Name | Christian Mcphail |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447018700 PECOS PAC ID: 2769959444 Enrollment ID: I20260430001135 |
| Provider Name | Chanah Des Lauriers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821775446 PECOS PAC ID: 8527531185 Enrollment ID: I20260624004786 |
| Provider Name | Orin R Redmond |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104763788 PECOS PAC ID: 0042783615 Enrollment ID: I20260625000105 |
| Provider Name | Aishia Chenery Chestnut |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942847843 PECOS PAC ID: 1759854136 Enrollment ID: I20260626001436 |
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