Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Woodrow Anthony Roeback III, CPC, CRC, LPC

Individual provider Professional Counselor · NPI 1356681241

Dr. Woodrow Anthony Roeback III, CPC, CRC, LPC is a Professional Counselor in Myrtle Beach, South Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in California, Nevada, South Carolina and Utah.

Licensed in
CA, NV, SC, UT
In the registry since
2013
Specialties on file
5
What do these letters mean?
CPC — Certified Professional Coder
A medical coding credential, not a clinical one.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1103 48th Ave N Ste 201
Myrtle Beach, SC 29577-5418
Phone: (843) 501-1099
Fax: (843) 405-2040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 241 W Quail Dr, Palmdale, CA 93551-2943 — (702) 917-9309

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 12362 (SC)
Professional Counselor Taxonomy 101YP2500X · Licence 9352 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence CP0182 (NV)
Mental Health Counselor Taxonomy 101YM0800X · Licence 128746726004 (UT)
Exclusive Provider Organization Taxonomy 302F00000X · Licence NV20131237531 (NV)

Record details

NPI number1356681241
Entity typeIndividual (Type 1)
GenderMale
Credentials CPC , CRC , LPC
Sole proprietorYes
NPI enumeratedMarch 1, 2013
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

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