Coastal Counseling and Therapy LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

13932 Issued in FL

Legal business name

COASTAL COUNSELING AND THERAPY LLC

Doing business as

Coastal Counseling & Therapy

Practice address

304 Williams Ave
Port Saint Joe, FL 32456-1846

Phone

(850) 250-2579

Fax

(813) 262-0999

NPI assigned

May 25, 2016

Last updated

Sep 16, 2016By 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

Marika Dillon, MA, LMHCNPI 1629122999

Title

Founder

Phone

(850) 250-2579

Specialties & licenses 1

Addresses

Other names 1

• Coastal Counseling & Therapy Doing business as

Locations

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.

• Marika J Dillon, LMHC

  • Professional Counselor
  • Port Saint Joe, FL
  • NPI 1629122999
  NPD (past) Authorized official

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1245688720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 384",
            "city": "PORT SAINT JOE",
            "state": "FL",
            "postal_code": "324570384",
            "telephone_number": "850-250-2579",
            "fax_number": "813-262-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 WILLIAMS AVE",
            "city": "PORT SAINT JOE",
            "state": "FL",
            "postal_code": "324561846",
            "telephone_number": "850-250-2579",
            "fax_number": "813-262-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL COUNSELING AND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "MARIKA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "850-250-2579",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "13932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Counseling & Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Lynn Bell, RCSWI, MSW
• Bio-Medical Applications of Florida, Inc. (Fresenius Kidney Care Port St. Joe)
• Jamie Lynn Brannan, RBT
• Tracie Ann Butts, MS, BCBA
• Joanne Buzzett, M.S. CCC/SLP
• Kalah Khamalah Cobourne
• Dailey Therapy, LLC
• Nakia Tamika Taylor Dailey, MS, CCC-SLP
• Marika J Dillon, LMHC
• Yvonne G Guillot, RPH

• Professional Counselor in Port Saint Joe, FL
• Providers in Port Saint Joe, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.