NPIMap

Organization Active NPI

Coastal Counseling Services LLC

  • Adult Mental Health Clinic/Center
  • Chatham, MA
National Provider Identifier
1659901445
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
COASTAL COUNSELING SERVICES LLC
Practice address
2 Lobster LN
Chatham, MA 02633-2580
Phone
(917) 825-4088
NPI assigned
Jan 21, 2020
Last updated
Apr 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Jessica D'Acoasta, LICSW
Title
Owner
Phone
(973) 922-3551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2 Lobster LN
Chatham, MA 02633-2580

Mailing address

2 Early Red Cir
Sandwich, MA 02563-2681
Phone (973) 922-3551

Other practice location 1

2 Early Red Cir
Sandwich, MA 02563-2681
Phone (973) 922-3551

Other names 1

  • Coastal Counseling LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jessica.dacostaCC@gmail.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1659901445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EARLY RED CIR",
            "city": "SANDWICH",
            "state": "MA",
            "postal_code": "025632681",
            "telephone_number": "973-922-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LOBSTER LN",
            "city": "CHATHAM",
            "state": "MA",
            "postal_code": "026332580",
            "telephone_number": "917-825-4088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Early Red Cir",
            "address_purpose": "LOCATION",
            "city": "Sandwich",
            "state": "MA",
            "postal_code": "025632681",
            "country_code": "US",
            "telephone_number": "973-922-3551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "D'ACOASTA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-922-3551",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jessica.dacostaCC@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2 Lobster Ln",
            "city": "Chatham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "026332580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Coastal Counseling LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chatham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.