NPIMap

Organization Active NPI

Coastal Healing Counseling

  • Community/Behavioral Health Agency
  • Peabody, MA
National Provider Identifier
1881055242
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
119353 Issued in MA
Legal business name
COASTAL HEALING COUNSELING
Practice address
3 Essex Green Dr Ste 6
Peabody, MA 01960-2927
Phone
(978) 687-7184
NPI assigned
Mar 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Mrs. Amy B Tuneburg, LICSWNPI 1881163772
Title
Therapist
Phone
(978) 687-7184

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
Community/Behavioral Health Agency 251S00000X 119353 MA Primary

Addresses

Primary practice location

3 Essex Green Dr Ste 6
Peabody, MA 01960-2927

Mailing address

PO Box 455
Wenham, MA 01984-0955
Phone (978) 471-8631

National Provider Directory

National Provider Directory

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": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1881055242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "WENHAM",
            "state": "MA",
            "postal_code": "019840955",
            "telephone_number": "978-471-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ESSEX GREEN DR STE 6",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602927",
            "telephone_number": "978-687-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HEALING COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "TUNEBURG",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "19786877184",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "119353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.