Organization Active NPI

Beach Blue Counseling

  • Clinical Social Worker
  • Santa Rosa Beach, FL
National Provider Identifier
1013549328
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BEACH BLUE COUNSELING
Practice address
156 N County Highway 393 Unit 7
Santa Rosa Beach, FL 32459-5349
Phone
(850) 359-6444
Fax
(850) 502-8091
NPI assigned
Feb 5, 2020
Reactivated
Feb 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Patrick M McCorry, MSW, LCSW
Title
Counselor
Phone
(850) 359-6444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

156 N County Highway 393 Unit 7
Santa Rosa Beach, FL 32459-5349

Mailing address

156 N County Highway 393 Unit 7
Santa Rosa Beach, FL 32459-5349
Phone (850) 359-6444

National Provider Directory

National Provider Directory

Locations

1012 Airport Rd
Ste 1
Destin, FL 32541

156 N County Highway 393
Unit 7
Santa Rosa Beach, FL 32459
Phone (850) 359-6444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1013549328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 N COUNTY HIGHWAY 393 UNIT 7",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595349",
            "telephone_number": "850-359-6444",
            "fax_number": "850-502-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 N COUNTY HIGHWAY 393 UNIT 7",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595349",
            "telephone_number": "850-359-6444",
            "fax_number": "850-502-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH BLUE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "deactivation_date": "2021-11-01",
        "reactivation_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "MCCORRY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "850-359-6444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.