NPIMap

Organization Active NPI

Coastal Solutions LLC

  • Addiction (Substance Use Disorder) Counselor
  • Chocowinity, NC
National Provider Identifier
1255978128
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
COASTAL SOLUTIONS LLC
Practice address
51 Hwy 33 W
Chocowinity, NC 27817
Phone
(252) 256-7219
NPI assigned
Dec 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Niadra Blount Pratt, MS, LCAS, CCS, LPCANPI 1518369727
Title
Therapist
Phone
(252) 256-7219

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X

Addresses

Primary practice location

51 Hwy 33 W
Chocowinity, NC 27817

Mailing address

PO Box 644
Chocowinity, NC 27817-0644
Phone (252) 256-7219

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 252-364-3414 Direct

National Provider Directory

National Provider Directory
Tax ID family
Coastal Solutions LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1255978128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 644",
            "city": "CHOCOWINITY",
            "state": "NC",
            "postal_code": "278170644",
            "telephone_number": "252-256-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 HWY 33 W",
            "city": "CHOCOWINITY",
            "state": "NC",
            "postal_code": "27817",
            "telephone_number": "252-256-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "NIADRA",
        "authorized_official_middle_name": "BLOUNT",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "252-256-7219",
        "authorized_official_credential": "MS, LCAS, CCS, LPCA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "252-364-3414",
            "affiliation": "N",
            "endpointDescription": "secure fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "51 Hwy 33 W",
            "city": "Chocowinity",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chocowinity, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.