NPIMap

Organization Active NPI

Coastal Tides Counseling

  • Mental Health Counselor
  • Mt Pleasant, SC
National Provider Identifier
1831457985
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6818 Issued in SC
Legal business name
COASTAL TIDES COUNSELING
Practice address
990 Lake Hunter Cir
Suite 1a
Mt Pleasant, SC 29464-5426
Phone
(843) 324-1449
NPI assigned
Apr 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Mrs. Julia Lee Lesch, LISW-CPNPI 1740244417
Title
Owner and Provider
Phone
(843) 670-8954

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 6818 SC Primary

Addresses

Primary practice location

990 Lake Hunter Cir
Suite 1a
Mt Pleasant, SC 29464-5426

Mailing address

990 Lake Hunter Cir
Suite 1a
Mt Pleasant, SC 29464-5426
Phone (843) 324-1449

Other identifiers 1

IdentifierTypeStateIssuer
6818OtherSCLICENSED INDEPENDENT SOCIAL WORKER CP

National Provider Directory

National Provider Directory

Locations

990 Lake Hunter Cir
Ste 1A
Mt Pleasant, SC 29464
Phone (843) 852-4100

Practitioners & affiliated clinicians

Practitioners 4

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": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1831457985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 LAKE HUNTER CIR",
            "address_2": "SUITE 1A",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645426",
            "telephone_number": "843-324-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 LAKE HUNTER CIR",
            "address_2": "SUITE 1A",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645426",
            "telephone_number": "843-324-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL TIDES COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "LESCH",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER AND PROVIDER",
        "authorized_official_telephone_number": "843-670-8954",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED INDEPENDENT SOCIAL WORKER CP",
            "identifier": "6818",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.