SERENITY COAST COUNSELING LLC
NPI 1437691060
Social Worker - Clinical in Gulfport, MS

NPI Status: Active since November 14, 2016

Contact Information

12320 ASHLEY DR
SUITE D
GULFPORT, MS
ZIP 39503
Phone: (228) 334-5233

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  • Organization
  • Social Worker
  • Clinical

About SERENITY COAST COUNSELING LLC

This page provides the complete NPI Profile along with additional information for Serenity Coast Counseling Llc, a provider established in Gulfport, Mississippi operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1437691060 assigned on November 2016. The practitioner's primary taxonomy code is 1041C0700X with license number C7870 (MS). The provider is registered as an organization and their NPI record was last updated 9 years ago. Serenity Coast Counseling Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Holly Regan (President)

NPI
1437691060
Provider Name
SERENITY COAST COUNSELING LLC
Entity Type
Organization
Location Address
12320 ASHLEY DR SUITE D GULFPORT, MS 39503
Location Phone
(228) 334-5233
Mailing Address
12320 ASHLEY DR SUITE D GULFPORT, MS 39503
Mailing Phone
(228) 334-5233
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-14-2016
Last Update Date
11-14-2016
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A clinical social worker like Serenity Coast Counseling Llc is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
C7870
License State
MS
Taxonomy Description
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HOLLY REGAN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(228) 334-5233

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1437691060
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24671292012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 6 + 7 + 1 + 2 + 9 + 2 + 0 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1437691060 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962895664 HOLLY REGAN
Individual
Social Worker12320 ASHLEY DR STE D
GULFPORT, MS 39503
(228) 282-3655
1831661800 LAKISHA REDMOND RMA, CCMA, AHI, PBT
Individual
Technician, Pathology (Phlebotomy)12320 ASHLEY DR STE D
GULFPORT, MS 39503
(228) 609-9752

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437691060, enumerated in the NPI registry as an "organization" on November 14, 2016

The provider is located at 12320 Ashley Dr Suite D Gulfport, Ms 39503 and the phone number is (228) 334-5233

This medical organization specializes in Social Worker with taxonomy code 1041C0700X with a focus in Clinical

This NPI record was last updated on November 14, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.