Coastal Center for Connection

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

COASTAL CENTER FOR CONNECTION

Practice address

317 Office Square LN Ste B101
Virginia Beach, VA 23462-3652

Phone

(757) 403-4953

NPI assigned

Mar 31, 2022

Organization subpart

No

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

Authorized official

Name

Traci Whitley, LMFTNPI 1487932729

Title

Owner

Phone

(760) 421-8455

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.

• Traci Catogni Whitley

  • Mental Health Counselor
  • Virginia Beach, VA
  • NPI 1487932729
  NPD Authorized official

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1659011237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9518 3RD BAY ST UNIT 120",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235181013",
            "telephone_number": "760-421-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 OFFICE SQUARE LN STE B101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623652",
            "telephone_number": "757-403-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CENTER FOR CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-421-8455",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.