Sea Glass Counseling Collaborative LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SEA GLASS COUNSELING COLLABORATIVE LLC

Practice address

1606 Harbour Dr
Wilmington, NC 28401-7716

Phone

(973) 919-6669

Fax

(910) 207-5335

NPI assigned

Aug 8, 2024

Last updated

Dec 31, 2024By 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

Tina Marie Cooke, LCMHCNPI 1437201399

Title

Ceo

Phone

(973) 919-6698

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Tina Marie Cooke, LPC, LCADC, LCMHC

  • Professional Counselor
  • Wilmington, NC
  • NPI 1437201399

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1982435475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 BONITO LN",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284285765",
            "telephone_number": "973-919-6698",
            "fax_number": "910-207-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 HARBOUR DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017716",
            "telephone_number": "973-919-6669",
            "fax_number": "910-207-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA GLASS COUNSELING COLLABORATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-919-6698",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Scoville, M.ED., CCC-SLP
• Kevin S Scully, MD
• Kailee Alexis Scurpa, PHARMD
• SE Wellness & Behavioral Health, PLLC
• Sea Bright, Inc (Comfort Keepers)
• Sea Glass Counseling PLLC
• Seacoast Skin Surgery PLLC
• Seacore Management, LLC
• Seaglass Wellness LLC
• Seagrass Integrated Mental Health, PLLC

• Mental Health Counselor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.