Coastal Counseling LLC
Organization Active NPI Community/Behavioral Health Agency · Groton, CT
NPI 1699443168 · NPPES record last updated Aug 31, 2021
Key facts
- NPI
- 1699443168
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- COASTAL COUNSELING LLC
- Practice address
- 1041 Poquonnock Rd
Groton, CT 06340-2201 - Phone
- (860) 405-0005
- NPI assigned
- Aug 31, 2021
- Organization subpart
- No
Authorized official
- Name
- Jennifer Spreng, LMFT
- Title
- Owner
- Phone
- (860) 405-0005
Practitioners 1
-
Jennifer L. Spreng, LMFT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240717002906 | CT | Part B Supplier - Clinic/Group Practice | 7113462862 |
Receives reassigned benefits from 1 practitioner Practice locations: Groton, CT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
1041 Poquonnock Rd
Groton, CT 06340-2201
Mailing address
1041 Poquonnock Rd
Groton, CT 06340-2201
Other providers in Groton, CT
- Jason Jack Close
- Katheryn Jeanne Cloud
- Cloutier Family Practice LLC
- Josee Diane Cloutier
- Acea Cluff
- Coastal Imaging LLC
- Coastal Therapy, LLC
- Patrick Coke Jr.
- Carl Branyon Coker
- Lauri Nyman Cole
All providers in Groton, CT · Community/Behavioral Health Agency in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.