Organization Active NPI

Coastal Bend Counseling Associates

  • Mental Health Counselor
  • Corpus Christi, TX
National Provider Identifier
1669281267
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COASTAL BEND COUNSELING ASSOCIATES
Practice address
5959 S Staples St Ste 200
Corpus Christi, TX 78413-3844
Phone
(361) 442-4024
Fax
(361) 806-9491
NPI assigned
Jan 7, 2025
Last updated
Jan 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Nora Darjean
Title
Office Manager
Phone
(361) 442-4024

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X NU Primary
Professional Counselor 101YP2500X NU

Addresses

Primary practice location

5959 S Staples St Ste 200
Corpus Christi, TX 78413-3844

Mailing address

5959 S Staples St Ste 200
Corpus Christi, TX 78413-3844
Phone (361) 442-4024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251118001055 TX Part B Supplier - Clinic/Group Practice 9436640489 Receives reassigned benefits from 5 practitioners
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1669281267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S STAPLES ST STE 200",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133844",
            "telephone_number": "361-442-4024",
            "fax_number": "361-806-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 S STAPLES ST STE 200",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133844",
            "telephone_number": "361-442-4024",
            "fax_number": "361-806-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BEND COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "DARJEAN",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "361-442-4024"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.