Coastal Breeze Mental Health a Nursing Corporation

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

COASTAL BREEZE MENTAL HEALTH A NURSING CORPORATION

Practice address

777 Chestnut St
Santa Cruz, CA 95060-3751

Phone

(831) 291-3540

Fax

(800) 893-0224

NPI assigned

Nov 8, 2022

Organization subpart

No

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

Authorized official

Name

Andrea LudwickNPI 1962079624

Title

Pmhnp

Phone

(831) 291-3540

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, CO2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Ludwick, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Cruz, CA
  • NPI 1962079624

  CO

  Medicare reassignment NPD Authorized official
• Lilliana Marisa Colbasso, LMFT

  • Marriage & Family Therapist
  • Santa Cruz, CA
  • NPI 1033314810
  NPD (past)
• Gloria Sim Le, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bend, OR
  • NPI 1316488620
  NPD (past)

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1497463491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CHESTNUT ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603751",
            "telephone_number": "831-291-3540",
            "fax_number": "800-893-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CHESTNUT ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603751",
            "telephone_number": "831-291-3540",
            "fax_number": "800-893-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BREEZE MENTAL HEALTH A NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "LUDWICK",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "831-291-3540"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Russell Clevenger, DDS
• Rachel Marie Click Richardson, RN
• Tina M Clifford, LMFT
• Frederick Clock
• Jeffrey Clough
• Coastal Turning Point
• Coastal Turning Point Inc.
• Coastline Support, Inc.
• Audrey Coates, MD
• Laurel Coats, L.AC

• Psychiatric/Mental Health Nurse Practitioner in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.

Verify at the official NPI Registry.