Coastal Counseling Clinic

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C002351 Issued in NC

Legal business name

COASTAL COUNSELING CLINIC

Practice address

1941 Gastonia Rd
Southport, NC 28461-9317

Phone

(910) 845-8992

NPI assigned

Sep 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Marcia Whiting

Title

President

Phone

(910) 845-8992

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1598098048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 GASTONIA RD",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284619317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 GASTONIA RD",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284619317",
            "telephone_number": "910-845-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL COUNSELING CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "WHITING",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-845-8992",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C002351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Blake Clarke, LCAS
• Katie Clegg
• Jesse Clinger, PHARMD
• Coastal Companion Care, LLC
• Coastal Concierge Health, PLLC
• Coastal Therapy Services, Inc
• Comprehensive Medical Associates, PLLC
• Haley Nicole Cook
• Karen Winstead Cook, COTA/L
• Kyle Patrick Cunningham, DPT

• Mental Health Counselor in Southport, NC
• Providers in Southport, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.