Coastal Psychiatry and Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

COASTAL PSYCHIATRY AND WELLNESS LLC

Doing business as

Coastal Psychiatry and Wellness

Practice address

10469 Atlee Station Rd Ste 100
Ashland, VA 23005-8913

Phone

(804) 923-4002

NPI assigned

Mar 13, 2025

Last updated

Dec 29, 2025By 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

Timothy Derrick Smith

Title

Ceo and Practice Manager

Phone

(804) 923-4002

Specialties & licenses 2

Addresses

Other names 1

• Coastal Psychiatry and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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.

• Glenna Noelle Armistead Smith, NP

  • Psychiatry Physician
  • Ashland, VA
  • NPI 1659871309
  Medicare reassignment Care Compare group NPD
• Daeryl Williamson, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ashland, VA
  • NPI 1295397123
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1740089416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10469 ATLEE STATION RD STE 100",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230058913",
            "telephone_number": "804-932-4002",
            "fax_number": "833-974-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10469 ATLEE STATION RD STE 100",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230058913",
            "telephone_number": "804-923-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PSYCHIATRY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "DERRICK",
        "authorized_official_title_or_position": "CEO AND PRACTICE MANAGER",
        "authorized_official_telephone_number": "804-923-4002"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Psychiatry and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra Chamberlain, MSW, LCSW
• Chesapeake Rehab Equipment Inc (Numotion)
• Karla Patricia Chevez
• Chiro One Wellness Center of Ashland LLC
• Dana Clark, LPC
• Janna Cole
• Commonwealth Clinical Services, LLP
• Commonwealth Home Health Services, LLC
• Commonwealth Medical Equipment & Supply LLC
• Commonwealth of Virginia State Board of Health (Hanover County Health Department)

• Psychiatric/Mental Health Nurse Practitioner in Ashland, VA
• Providers in Ashland, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.