COASTAL HORIZONS CENTER, INC. (NPI# 1710187463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710187463 |
| Entity Type | Organization |
| Organization Name | COASTAL HORIZONS CENTER, INC. |
| Practice Address |
803 S Walker St Burgaw NC 28425-5001 |
| Mailing Address |
615 Shipyard Blvd Wilmington NC 28412-6431 |
| Practice Telephone | 9102590668 |
| Practice Fax Number | 9102594526 |
| Mailing Telephone | 9103430145 |
| Mailing Fax Number | 9103415779 |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |
| Authorized Official Name | MARGARET WELLER STARGELL (PRESIDENT/CEO) |
| Authorized Official Telephone | 9103430145 |
| Is Organization Subpart | Y |
| Parent Organization Name | COASTAL HORIZONS CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MHL-065-011 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8301322B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922456052 | Coastal Horizons Center, Inc. | Family Medicine | 1307 Market St, New Hanover High School, Wilmington, NC 28401-4331 | 2016-05-31 |
| 1447608575 | Coastal Horizons Center, Inc. | Family Medicine | 4005 Oleander Dr, Wilmington, NC 28403-6816 | 2016-05-31 |
| 1922483874 | Coastal Horizons Center, Inc. | Community/Behavioral Health | 803 S Walker St, Burgaw, NC 28425-5001 | 2015-07-21 |
| 1003050634 | Coastal Horizons Center, Inc. | Psychologist | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2009-04-27 |
| 1831333467 | Coastal Horizons Center, Inc. | Counselor | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2009-04-27 |
| 1629278361 | Coastal Horizons Center, Inc. | Community/Behavioral Health | 803 S Walker St, Burgaw, NC 28425-5001 | 2007-07-20 |
| 1790985448 | Coastal Horizons Center, Inc. | Community/Behavioral Health | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2007-07-20 |
| 1184824823 | Coastal Horizons Center, Inc. | Community/Behavioral Health | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2007-07-20 |
| 1174723829 | Coastal Horizons Center, Inc. | Community/Behavioral Health | 803 S Walker St, Burgaw, NC 28425-5001 | 2007-07-20 |
| 1992905640 | Coastal Horizons Center, Inc. | Community/Behavioral Health | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2007-07-20 |
| Street Address |
803 S WALKER ST |
| City | BURGAW |
| State | NC |
| Zip Code | 28425-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073543682 | Charles Alan Barrett | Counselor | 803 S Walker St, Burgaw, NC 28425-5001 | 2006-07-03 |
| 1922617331 | Megan Sarah Buchheister | Dietitian, Registered | 803 S Walker St, Burgaw, NC 28425-5001 | 2020-07-31 |
| 1033683834 | Ashley Clair Batts | Nurse Practitioner | 803 S Walker St, Burgaw, NC 28425-5001 | 2019-01-15 |
| 1538648472 | Dennisha Sue Pauley | Counselor | 803 S Walker St, Burgaw, NC 28425-5001 | 2018-08-10 |
| 1306332234 | Kelly Marie Berry | Social Worker | 803 S Walker St, Burgaw, NC 28425-5001 | 2018-07-03 |
| 1235622440 | Sylvia Gail Bellamy-simpson | Counselor | 803 S Walker St, Burgaw, NC 28425-5001 | 2018-06-12 |
| 1477050607 | Lindsey M Lawrence | Physician Assistant | 803 S Walker St, Burgaw, NC 28425-5001 | 2018-04-13 |
| 1043714652 | Regan Margaret Springs | Social Worker | 803 S Walker St, Burgaw, NC 28425-5001 | 2018-03-19 |
| 1619491396 | Sharinetta Nicole Murray | Counselor | 803 S Walker St, Burgaw, NC 28425-5001 | 2017-08-03 |
| 1720500754 | Pamela Balogh | Nurse Practitioner | 803 S Walker St, Burgaw, NC 28425-5001 | 2017-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091662 | Chiquitta Williams Lesene | Counselor | 407 E Fremont Street, Burgaw, NC 28425 | 2020-10-22 |
| 1255978912 | David L Populus Jr. | Preventive Medicine | 1638 Hwy 53, Burgaw, NC 28425 | 2019-12-02 |
| 1467948729 | Coastal Horizons Center Inc. | Community/Behavioral Health | 309 Progress Dr., Burgaw, NC 28425 | 2018-07-10 |
| 1629504824 | Kellie Savard | Speech-Language Pathologist | 213 South Wright Street, Unit B, Burgaw, NC 28425 | 2017-05-08 |
| 1578004800 | Alisa Fussell | Speech-Language Pathologist | 10131 Highway 53 W, Burgaw, NC 28425 | 2017-03-20 |
| 1881136851 | Pender Pediatric Therapy, PC | Speech-Language Pathologist | 126 W. Fremont St., Burgaw, NC 28425 | 2016-11-08 |
| 1821424771 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 206 Us Highway 117 S, Burgaw, NC 28425 | 2013-09-24 |
| 1679816193 | Kerry Dawn Daraskavich | Physical Therapist | 311 South Campell Street, Burgaw, NC 28425 | 2013-04-03 |
| 1184985178 | Kerr Drug | Point of Service | 206 Us Route 117 South, Burgaw, NC 28425 | 2012-06-06 |
| 1407117682 | Courtney L Gibbs | Speech-Language Pathologist | 126 W Fremont St, Burgaw, NC 28425 | 2012-06-04 |
| Find all providers in zip 28425 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467948729 | Coastal Horizons Center Inc. | Community/Behavioral Health | 309 Progress Dr., Burgaw, NC 28425 | 2018-07-10 |
| 1487095386 | Reching Your Goals | Community/Behavioral Health | 110 W. Courthouse Ave, Burgaw, NC 28425-5546 | 2013-07-09 |
| 1326331216 | Port Health Services | Community/Behavioral Health | 314 Progress Drive Extension, Burgaw, NC 28425-2813 | 2011-05-25 |
| 1821265414 | Safe Haven of Pender, Inc. | Community/Behavioral Health | 1411 Us Highway 117 S, Burgaw, NC 28425-7756 | 2008-05-13 |
| 1528613775 | Coastal Horizons Center Inc | Community/Behavioral Health | 309 Progress Dr., Burgaw, NC 28425-5001 | 2019-08-05 |
| 1922483874 | Coastal Horizons Center, Inc. | Community/Behavioral Health | 803 S Walker St, Burgaw, NC 28425-5001 | 2015-07-21 |
| 1780907006 | Coastal Horizons Center, Inc | Community/Behavioral Health | 803 S Walker St, Burgaw, NC 28425-5001 | 2010-03-02 |
| 1083804314 | The Lawson's House | Community/Behavioral Health | 745 Us Highway 117 S, Burgaw, NC 28425 | 2007-08-01 |
| 1629278361 | Coastal Horizons Center, Inc. | Community/Behavioral Health | 803 S Walker St, Burgaw, NC 28425-5001 | 2007-07-20 |
| 1174723829 | Coastal Horizons Center, Inc. | Community/Behavioral Health | 803 S Walker St, Burgaw, NC 28425-5001 | 2007-07-20 |
| Find all providers in BURGAW | ||||
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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.