Coastal Psychotherapy and Consulting Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6760 Issued in SC

Legal business name

COASTAL PSYCHOTHERAPY AND CONSULTING INC.

Practice address

10 Pinckney Colony Rd
Executive Center Suite 315
Bluffton, SC 29909-4126

Phone

(843) 298-4637

Fax

(877) 248-2314

NPI assigned

Apr 30, 2010

Last updated

Apr 30, 2010By 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

Mrs. Krista Delgado, LISW-CPNPI 1427276377

Title

Owner

Phone

(843) 298-4637

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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.

• Krista Delgado, M.S., L.I.S.W.-CP

  • Clinical Social Worker
  • Bluffton, SC
  • NPI 1427276377
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1457678328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PINCKNEY COLONY RD",
            "address_2": "EXECUTIVE CENTER SUITE 315",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299094126",
            "telephone_number": "843-298-4637",
            "fax_number": "877-248-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PINCKNEY COLONY RD",
            "address_2": "EXECUTIVE CENTER SUITE 315",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299094126",
            "telephone_number": "843-298-4637",
            "fax_number": "877-248-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PSYCHOTHERAPY AND CONSULTING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-30",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-298-4637",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "6760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Colby Cole
• Caroline Coleman, LMT

• Clinical Social Worker in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.

Verify at the official NPI Registry.