Organization Active NPI

Crystal Coast Counseling, PLLC

  • Professional Counselor
  • Swansboro, NC
National Provider Identifier
1174795462
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5417 Issued in NC
Legal business name
CRYSTAL COAST COUNSELING, PLLC
Practice address
624-2 West Corbett Ave
Swansboro, NC 28584
Phone
(910) 326-9011
NPI assigned
Mar 27, 2008
Last updated
Mar 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Ms. Julie E. Marion, MA, LPC, NCC, NCSCNPI 1518139807
Title
Owner/Therapist
Phone
(910) 326-9011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5417 NC Primary

Addresses

Primary practice location

624-2 West Corbett Ave
Swansboro, NC 28584

Mailing address

100 Deep Water Dr
Stella, NC 28582
Phone (910) 326-9011

National Provider Directory

National Provider Directory

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": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1174795462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DEEP WATER DR",
            "city": "STELLA",
            "state": "NC",
            "postal_code": "28582",
            "telephone_number": "910-326-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624-2 WEST CORBETT AVE",
            "city": "SWANSBORO",
            "state": "NC",
            "postal_code": "28584",
            "telephone_number": "910-326-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL COAST COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "MARION",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "910-326-9011",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC, NCC, NCSC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.