Coral Reef Counseling and Trauma Therapy PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CORAL REEF COUNSELING AND TRAUMA THERAPY PLLC

Practice address

1193 SE Port St Lucie Blvd # 423
Port St Lucie, FL 34952-5332

Phone

(772) 281-1308

NPI assigned

Jun 22, 2026

Organization subpart

No

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

Authorized official

Name

Lisa Lewis, LMHC

Title

Owner/Counselor

Phone

(772) 281-1308

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1811823552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1193 SE PORT ST LUCIE BLVD # 423",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525332",
            "telephone_number": "772-281-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1193 SE PORT ST LUCIE BLVD # 423",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525332",
            "telephone_number": "772-281-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL REEF COUNSELING AND TRAUMA THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "772-281-1308",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Brandon Cook
• Charles Cooke Jr.
• Steven G Cooper, CRNA
• Consuelo Copete
• Cora Health Services Inc
• Coral Reef Dermatology LLC
• Coral Way Medical Center Inc
• Lynett Cordero Mitjans, RBT
• Jennifer M Cordero, PTA
• Samantha M Cordola, PHARM. D.

• Adult Mental Health Clinic/Center in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.