Angel Davis Corbin, LPC, LCAS
NPI 1699027961ActiveIndividual· Counselor, Mental Health· Myrtle Beach, SC
Counselor, Mental Health (LPC, LCAS) with Etheria Counseling LLC, practicing in Myrtle Beach, South Carolina. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1699027961 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC, LCAS |
| Sole proprietor | Yes |
| NPI issued | Oct 10, 2012 |
| Last updated in NPPES | Aug 23, 2024 |
| Certified by provider | Aug 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 9733 | NC |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 3242 | NC |
| Counselor, Professional | 101YP2500X | 9733 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (SC) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical group
- Etheria Counseling LLCMyrtle Beach, SC · 5 clinicians
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