Beach Side Counseling PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BEACH SIDE COUNSELING PLLC

Practice address

811 Pacific Ave S Ste 7
Long Beach, WA 98631-3544

Phone

(503) 440-3032

NPI assigned

Dec 30, 2019

Organization subpart

No

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

Authorized official

Name

Windy Drega

Title

Credentialing, Contracting, Billing

Phone

(360) 214-0749

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Nicole Marie Browning, MS, LMHC, CDPT

  • Mental Health Counselor
  • Long Beach, WA
  • NPI 1215473202
  NPD

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1881233575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "LONG BEACH",
            "state": "WA",
            "postal_code": "986310100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 PACIFIC AVE S STE 7",
            "city": "LONG BEACH",
            "state": "WA",
            "postal_code": "986313544",
            "telephone_number": "503-440-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH SIDE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "DREGA",
        "authorized_official_first_name": "WINDY",
        "authorized_official_title_or_position": "CREDENTIALING, CONTRACTING, BILLING",
        "authorized_official_telephone_number": "360-214-0749"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2139431",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Baker, LPN
• Daniel Baker
• Susan Elizabeth Baker
• Kate Elizabeth Bannister, MA CCC SLP
• Kara Barnes
• Maranda Beerbower
• Megan Rene Brady, BA
• Brandon L Adams MD PS
• Kelcee Nikole Bristol
• Laura Brown

• Adult Mental Health Clinic/Center in Long Beach, WA
• Providers in Long Beach, WA by specialty
• Adult Mental Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.