COASTAL COUNSELING & CONSULTING LLC (NPI# 1063020691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063020691 |
| Entity Type | Organization |
| Organization Name | COASTAL COUNSELING & CONSULTING LLC |
| Practice Address |
1638 N Coast Hwy Newport OR 97365-2357 |
| Practice Telephone | 5418192121 |
| Mailing Telephone | 5418192121 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | PEGGY DEFAZIO (OWNER - PROVIDER) |
| Authorized Official Telephone | 5412650884 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Coastal Counseling & Consulting LLC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Coastal Counseling & Consulting LLC | 23341 Cross Street, Accomac, Virginia 23301 |
| Oregon Corporations, Companies and Business Names | COASTAL COUNSELING & CONSULTING LLC | 1638 N Coast Hwy, Newport, OR 97365 |
| Street Address |
1638 N COAST HWY |
| City | NEWPORT |
| State | OR |
| Zip Code | 97365-2357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063036101 | Integrity Women's Health & Wellness, LLC | Obstetrics & Gynecology | 594 Se Running Springs, Newport, OR 97365 | 2020-06-04 |
| 1538799333 | Big Creek Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1664 N Coast Hwy, Newport, OR 97365 | 2020-01-21 |
| 1710527999 | Costal Support Services | Case Management | 125 Se Mast Ave #55, Lincoln City, OR 97365 | 2020-01-15 |
| 1821650169 | Darren Lee Taylor | Peer Specialist | 35 North Cottage Street, Newport, OR 97365 | 2019-07-08 |
| 1518405091 | The City of Newport 60 Plus Activity Center | Clinic/Center | 20 Se 2nd St, Newport, OR 97365 | 2017-02-06 |
| 1982020384 | Kristine Elizabeth Foley | Dental Hygienist | 123 Se Douglas Street, Family Dental, Newport, OR 97365 | 2014-03-10 |
| 1245655075 | Catherine Marie Vickers | Registered Nurse | 36 Sw Nye Street, Lincoln County Health and Human Services, Newport, OR 97365 | 2014-03-04 |
| 1114295342 | Donna Cressy | Physical Therapist | 140 Nw 4th Street, Newport, OR 97365 | 2011-12-02 |
| 1063647949 | Wrazen & Rash PC, Physicians | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
| 1194950048 | Stephen Macbain Burns, Md, PC | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
| Find all providers in zip 97365 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696283 | Interlink Counseling Services, LLC | Clinic/Center | 102 Larch Ave Ste 101f, Newport, DE 19804 | 2018-04-21 |
| 1376990606 | Oregon Holistic Counseling | Clinic/Center | 5220 Ne Shell World Pl Ste B, Newport, OR 97365-1279 | 2016-05-17 |
| 1992245849 | Lisa C Erwin Licsw Plc | Clinic/Center | 316 Main St, Suite 206, Newport, VT 05855-5530 | 2017-02-26 |
| 1891829776 | Northeast Kingdom Human Services Inc Vhap | Clinic/Center | 154 Duchess St, Newport, VT 05855 | 2007-03-15 |
| 1124152004 | Northeast Kingdom Human Services Inc Mh Waiver | Clinic/Center | 154 Duchess St, Newport, VT 05855 | 2007-03-15 |
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|---|---|---|---|---|
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| 1124637236 | Inner Light Counseling & Bodywork LLC | Clinic/Center | 2520 Chaucer Ct, Eugene, OR 97405-1217 | 2020-07-24 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1912521998 | The Practice of Jeffery Wise Therapeutics Pmhnp-bc | Clinic/Center | 2651 Nw Thurman St Apt 303, Portland, OR 97210-2327 | 2020-06-04 |
| 1326661448 | Kgk Therapeutic Services | Clinic/Center | 1138 Jefferson St, Eugene, OR 97402-5246 | 2020-05-22 |
| 1831723642 | Wild River Counseling and Consultation, LLC | Clinic/Center | 107 E Main St Ste 7, Medford, OR 97501-6022 | 2020-03-02 |
| 1356973010 | Holistic Healing Behavioral Healthcare | Clinic/Center | 5257 Ne Martin Luther King Blvd Ste 201, Portland, OR 97211-3283 | 2020-02-10 |
| 1336786730 | Sarah Kaufman Counseling | Clinic/Center | 492 E 13th Ave Ste 210, Eugene, OR 97401-4268 | 2019-12-04 |
| 1942845805 | I. Keith Orton, Phd | Clinic/Center | 745 Nw Mt Washington Dr Ste 301, Bend, OR 97703-1576 | 2019-11-14 |
| 1407408305 | Adaptability for Life LLC | Clinic/Center | 309 N 1st St, Silverton, OR 97381-1605 | 2019-07-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.