Coastal Connections Counseling Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COASTAL CONNECTIONS COUNSELING INC

Practice address

34921 US Highway 19 N Ste 210
Palm Harbor, FL 34684-1969

Phone

(727) 476-7415

NPI assigned

Sep 12, 2024

Last updated

Sep 12, 2024By 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

Kristal Dulleck, LMHCNPI 1720829971

Title

Ceo

Phone

(303) 419-0730

Specialties & licenses 1

Addresses

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.

• Kristal Dulleck, LMHC

  • Mental Health Counselor
  • Dunedin, FL
  • NPI 1720829971
  NPD Authorized official

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1376379644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34921 US HIGHWAY 19 N STE 210",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841969",
            "telephone_number": "727-476-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34921 US HIGHWAY 19 N STE 210",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841969",
            "telephone_number": "727-476-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CONNECTIONS COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "DULLECK",
        "authorized_official_first_name": "KRISTAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-419-0730",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tygue Clausen, MPH, RDN, CPH
• Clearwater Rolfing LLC
• Rachel Cleary
• Kristina Clements
• Cli Integrative Medicine, LLC
• Coastal Medical Service Managment
• Michael T Cobbe, DDS
• Kayla Cobos, OTD, OTR/L
• Stephanie Nicole Cochran, D.O.
• Savannah W Coffey, MSOT, OTR/L

• Mental Health Counselor in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.