Coastal Art Therapy Services PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

COASTAL ART THERAPY SERVICES PLLC

Practice address

900 Granby St Ste 206
Norfolk, VA 23510-2567

Phone

(757) 756-5254

NPI assigned

Sep 26, 2023

Last updated

Sep 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Thomas, LPC, ATR-BCNPI 1578224614

Title

Member

Phone

(916) 397-8041

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Lisa Thomas, MS, LPC, ATR-BC

  • Professional Counselor
  • Norfolk, VA
  • NPI 1578224614
  NPD Authorized official
• Emma Blevins

  • Professional Counselor
  • Midlothian, VA
  • NPI 1386479996
  NPD (past)

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1699554824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 GRANBY ST STE 206",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 GRANBY ST STE 206",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102567",
            "telephone_number": "757-756-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ART THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "916-397-8041",
        "authorized_official_credential": "LPC, ATR-BC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.