SEA CHANGE COUNSELING LLC
NPI 1144920711
Social Worker - Clinical in Edgewater, FL

Q: What is Sea Change Counseling LLC's NPI number?

The NPI number for Sea Change Counseling LLC is 1144920711. It was assigned to this organization in the NPPES registry on March 3, 2023.

Q: What is Sea Change Counseling LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since March 03, 2023

110 SANCHEZ AVE, EDGEWATER, FL 32132(386) 481-4782 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Sea Change Counseling Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEA CHANGE COUNSELING LLC (NPI 1144920711) is a healthcare organization registered as a clinical in Edgewater, Florida and active in the NPI registry since March 2023. The organization lists Trisha Peterson, Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1144920711

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameSEA CHANGE COUNSELING LLC

Location Address110 SANCHEZ AVEEdgewater, FL 32132-1638

Mailing Address110 Sanchez AveEdgewater, FL 32132-1638 · (386) 481-4782

Phone(386) 481-4782

Organization SubpartNo

Authorized OfficialTrisha PetersonClinical Social Worker · (386) 481-4782

Enumeration DateMarch 3, 2023

NPPES CertifiedMarch 3, 2023

✔ NPI 1144920711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

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.

110 SANCHEZ AVE, Edgewater, FL 32132

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sea Change Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sea Change Counseling LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Trisha Peterson, RSWI

Clinical Social Worker

NPI 1023561883

110 SANCHEZ AVE
Edgewater, FL 32132

(386) 481-4782

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sea Change Counseling LLC's NPI number?

The NPI number for Sea Change Counseling LLC is 1144920711. It was assigned to this organization in the NPPES registry on March 3, 2023.

Where is Sea Change Counseling LLC located?

Sea Change Counseling LLC is located at 110 Sanchez Ave, Edgewater, FL 32132. The listed phone number is (386) 481-4782.

What is Sea Change Counseling LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sea Change Counseling LLC enrolled in Medicare?

Yes. Sea Change Counseling LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sea Change Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Sea Change Counseling LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sea Change Counseling LLC was last updated on March 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.