Carolina Beach Counseling, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

CAROLINA BEACH COUNSELING, LLC

Practice address

1328 Lake Park Blvd N
Suite 109
Carolina Beach, NC 28428

Phone

(910) 458-4544

Fax

(910) 458-4824

NPI assigned

Jun 5, 2013

Last updated

May 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Corey AndolfiNPI 1609184431

Title

Owner

Phone

(910) 458-4544

Specialties & licenses 3

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Corey Andolfi, MA, LMFT, NBCCH

  • Marriage & Family Therapist
  • Carolina Beach, NC
  • NPI 1609184431
  NPD (past) Authorized official
• Loralie Grigas, MSW, LCSW

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1558679639
  NPD (past)
• Jessica Hadley Manning, LCSW, LCAS

  • Clinical Social Worker
  • Carolina Beach, NC
  • NPI 1437346202

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1033557665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 LAKE PARK BLVD N",
            "address_2": "SUITE 109",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284283935",
            "telephone_number": "910-458-4544",
            "fax_number": "910-458-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 LAKE PARK BLVD N",
            "address_2": "SUITE 109",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "28428",
            "telephone_number": "910-458-4544",
            "fax_number": "910-458-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA BEACH COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "ANDOLFI",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-458-4544"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Kent Farrell DDS PA II
• Damian Brezinski, MD
• Paula Conaway Bruner, PA
• Robert A Bucciere, LCSW
• John B Callahan, BSW, MPA, CCM
• Carolina Beach Physical Therapy
• Kaitlyn Leeann Carpenter, PT, DPT
• Allison Carte
• Amanda Dixon Cerqueira, DDS, PA
• Roberta Clark

• Addiction (Substance Use Disorder) Counselor in Carolina Beach, NC
• Providers in Carolina Beach, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.