NPIMap

Organization Active NPI

Coastal Mental Health Center Inc

  • Community/Behavioral Health Agency
  • Daytona Beach, FL
National Provider Identifier
1194472977
Registry record updated Jul 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COASTAL MENTAL HEALTH CENTER INC
Practice address
149 S Ridgewood Ave Ste 310
Daytona Beach, FL 32114-4335
Phone
(800) 614-4124
NPI assigned
Mar 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2025

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

Authorized official

Name
Tamar Richardson
Title
Director
Phone
(407) 347-6387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

149 S Ridgewood Ave Ste 310
Daytona Beach, FL 32114-4335

Mailing address

665 W Warren Ave
Longwood, FL 32750-4004
Phone (407) 347-6387

Other identifiers 2

IdentifierTypeStateIssuer
9391OtherFLEXEMPTION
000959609MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Coastal Mental Health Center Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

149 S Ridgewood Ave
Ste 310
Daytona Beach, FL 32114
Phone (386) 314-3266

801 Beville Rd
Ste 202A
South Daytona, FL 32119

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751587200000",
    "number": "1194472977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 W WARREN AVE",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504004",
            "telephone_number": "407-347-6387",
            "fax_number": "888-217-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 S RIDGEWOOD AVE STE 310",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144335",
            "telephone_number": "800-614-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MENTAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "TAMAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-347-6387"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXEMPTION",
            "identifier": "9391",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000959609",
            "state": "FL"
        }
    ],
    "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 Jul 4, 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.