Organization Active NPI

Seabreeze Counseling Center LLC

  • Clinical Social Worker
  • Daytona Beach, FL
National Provider Identifier
1093540395
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SEABREEZE COUNSELING CENTER LLC
Practice address
420 N Halifax Ave Ste 110
Daytona Beach, FL 32118-4189
Phone
(386) 331-0666
NPI assigned
Sep 5, 2024
Last updated
Sep 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Bethany Stapinski, LCSWNPI 1134736259
Title
Owner
Phone
(386) 331-0666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

420 N Halifax Ave Ste 110
Daytona Beach, FL 32118-4189

Mailing address

420 N Halifax Ave Ste 110
Daytona Beach, FL 32118-4189
Phone (386) 331-0666

National Provider Directory

National Provider Directory

Locations

420 N Halifax Ave
Ste 110
Daytona Beach, FL 32118
Phone (386) 331-0666

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1093540395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N HALIFAX AVE STE 110",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184189",
            "telephone_number": "386-331-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N HALIFAX AVE STE 110",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184189",
            "telephone_number": "386-331-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEABREEZE COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "STAPINSKI",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-331-0666",
        "authorized_official_credential": "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 Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.