Organization Active NPI

Ocean Vista Counseling, LLC

  • Clinical Social Worker
  • Ormond Beach, FL
National Provider Identifier
1760980502
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
OCEAN VISTA COUNSELING, LLC
Practice address
1275 W Granada Blvd Ste 6a
Ormond Beach, FL 32174-8105
Phone
(610) 248-0059
NPI assigned
Jan 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Ms. Kathleen Coughlin, LCSWNPI 1396759874
Title
Managing Member
Phone
(610) 248-0059

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1275 W Granada Blvd Ste 6a
Ormond Beach, FL 32174-8105

Mailing address

852 Aldenham LN
Ormond Beach, FL 32174-1411
Phone (610) 248-0059

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180502002650 FL Part B Supplier - Clinic/Group Practice 1355605163 Receives reassigned benefits from 1 practitioner
Practice locations: Ormond Beach, FL

National Provider Directory

National Provider Directory

Locations

1452 N US Highway 1
Ormond Beach, FL 32174
Phone (386) 672-1250

1452 N US Highway 1
Ste 127
Ormond Beach, FL 32174

1450 N US Highway 1
Ste 500
Ormond Beach, FL 32174
Phone (386) 449-8600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1760980502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 ALDENHAM LN",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741411",
            "telephone_number": "610-248-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 W GRANADA BLVD STE 6A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748105",
            "telephone_number": "610-248-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN VISTA COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-26",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "COUGHLIN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "610-248-0059",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.