Sea Change Therapy PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SEA CHANGE THERAPY PLLC

Practice address

3308 Ash VW
Williamsburg, VA 23185

Phone

(252) 435-7747

NPI assigned

Jun 19, 2017

Organization subpart

No

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

Authorized official

Name

Ashley C Overman-Goldsmith, MA LPC NCCNPI 1447648985

Title

Owner/Ceo

Phone

(252) 435-7747

Specialties & licenses 4

Addresses

Practitioners 1

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

• Ashley Christine Overman-Goldsmith, MA, LPC, NCC

  • Professional Counselor
  • Raleigh, NC
  • NPI 1447648985
  NPD (past) Authorized official

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1790215986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 ASH VW",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231858101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 ASH VW",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "23185",
            "telephone_number": "252-435-7747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "722 Parkham Ln",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "27603",
            "country_code": "US",
            "telephone_number": "252-435-7747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEA CHANGE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "OVERMAN-GOLDSMITH",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "252-435-7747",
        "authorized_official_credential": "MA LPC NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Ann Scott, PHD
• Stephen M Scott, PT, DPT, LLT, JD
• Philip Scrofani, PHD
• Rachael Nicole Scroggin, MFT INTERN
• Sea Breeze Counseling & Wellness, LLC
• Charles Seager, M.D.
• Kevin Scott Sears
• Sebastiana G Springmann DDS PC (New Town Dental Arts)
• Brent Segeleon, O.D.
• Catherine Seifert, BSDH,RDH,FAADH,OSE

• Mental Health Clinic/Center (Including Community Mental Health Center) in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.