Active NPI
Coastal Mind Over Matter LLC
- Psychiatric/Mental Health Nurse Practitioner
- Conway, SC
National Provider Identifier
1447197157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- COASTAL MIND OVER MATTER LLC
- Practice address
- 1354 Boswell CT
Conway, SC 29526-9550 - Phone
- (843) 653-9850
- NPI assigned
- Apr 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina Stone, PMHNP
- Title
- Owner
- Phone
- (843) 653-9850
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1354 Boswell CT
Conway, SC 29526-9550
Mailing address
1354 Boswell CT
Conway, SC 29526-9550
Phone (843) 653-9850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Conway, SC
- NPI 1356644322
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777507200000",
"number": "1447197157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1354 BOSWELL CT",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269550",
"telephone_number": "843-653-9850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1354 BOSWELL CT",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269550",
"telephone_number": "843-653-9850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL MIND OVER MATTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-30",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A",
"authorized_official_last_name": "STONE",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-653-9850",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, SC
- Coastal Carolina University Counseling Services
- Coastal Carolina University Student Health Services
- Coastal Family Medicine
- Coastal Home Care (American HomePatient)
- Coastal Kidney Center PA
- Coastal Neuropsychiatry, PA
- Coastal Orthopedic Associates, PA
- Coastal Pediatrics
- Coastal Pediatrics
- Coastal Podiatry Associates PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.