Oceanvista Counseling Associates, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

OCEANVISTA COUNSELING ASSOCIATES, LLC

Doing business as

OceanVista Counseling Associates

Practice address

1275 W Granada Blvd Ste 6a
Ormond Beach, FL 32174-8105

Phone

(386) 449-8600

Fax

(833) 559-1151

NPI assigned

Apr 20, 2021

Last updated

Jul 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah Allen, LMHC, NCCNPI 1952921652

Title

Managing Member

Phone

(386) 569-4084

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• OceanVista Counseling Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen Elizabeth Coughlin, LCSW

  • Clinical Social Worker
  • Ormond Beach, FL
  • NPI 1396759874
  Medicare reassignment Care Compare group NPD
• Kathleen Gless, MSW

  • Mental Health Counselor
  • Port Orange, FL
  • NPI 1003604307
  Medicare reassignment Care Compare group NPD
• Carrie Oliver, MSW

  • Clinical Social Worker
  • Deland, FL
  • NPI 1871646125
  Medicare reassignment Care Compare group NPD
• Christine Ann Renuart, LCSW

  • Clinical Social Worker
  • Rogers, AR
  • NPI 1790070928

  FL

  Medicare reassignment Care Compare group NPD
• Sarah Allen, LMHC

  • Mental Health Counselor
  • Ormond Beach, FL
  • NPI 1952921652
  NPD Authorized official
• Rachel Dawson, M.A.

  • Mental Health Counselor
  • Ormond Beach, FL
  • NPI 1497314587
  NPD (past)
• Chelsea Mae Farrell, LMHC

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1073047841
  NPD (past)
• Megan Walls, LMHC

  • Mental Health Counselor
  • Ormond Beach, FL
  • NPI 1790374569
  NPD (past)

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1912588039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 W GRANADA BLVD STE 6A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748105",
            "telephone_number": "386-449-8600",
            "fax_number": "833-559-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 W GRANADA BLVD STE 6A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748105",
            "telephone_number": "386-449-8600",
            "fax_number": "833-559-1151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 N US Highway 1 Ste 500",
            "address_purpose": "LOCATION",
            "city": "Ormond Beach",
            "state": "FL",
            "postal_code": "321746623",
            "country_code": "US",
            "telephone_number": "386-449-8600",
            "fax_number": "386-492-3590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OCEANVISTA COUNSELING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "386-569-4084",
        "authorized_official_credential": "LMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1952921652",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OceanVista Counseling Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OceanVista Counseling Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ocean Vista Counseling, LLC
• Howard L Offenberg, MD
• Susan J Ohanlon, OTR
• Scott E Okarski, D.C.
• Lisa M Olivero
• Omega 40 Sports Medicine

• Adult Mental Health Clinic/Center in Ormond Beach, FL
• Providers in Ormond Beach, 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 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.