Active NPI
Beach Blue Counseling
- Clinical Social Worker
- Santa Rosa Beach, FL
National Provider Identifier
1013549328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Santa Rosa Beach, FL
- NPI 1598491458
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.