COASTAL RESIDENTIAL SERVICES
NPI 1154516169
Community/Behavioral Health in Jacksonville, NC

Q: What is Coastal Residential Services's NPI number?

The NPI number for Coastal Residential Services is 1154516169. It was assigned to this organization in the NPPES registry on September 12, 2007.

Q: What is Coastal Residential Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since September 12, 2007CLIA 34D2115326 · Waiver

445 WESTERN BLVD STE T, JACKSONVILLE, NC 28546(910) 938-9550(910) 346-9186 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2020, Apr 17, 2018 (2 updates tracked since 2018).

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About Coastal Residential Services NPPES

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

COASTAL RESIDENTIAL SERVICES (NPI 1154516169) is a healthcare organization registered as a community/behavioral health in Jacksonville, North Carolina and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through July 4, 2028 and lists Carol Wilson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1154516169

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCOASTAL RESIDENTIAL SERVICES

Location Address445 WESTERN BLVD STE TJacksonville, NC 28546-6852

Mailing AddressPo Box 7128Jacksonville, NC 28540-2128 · (910) 938-9550 · Fax (910) 938-5912

Phone(910) 938-9550

Fax(910) 346-9186

Organization SubpartNo

Authorized OfficialCarol WilsonVice President · (910) 938-9550

Enumeration DateSeptember 12, 2007

Last NPPES UpdateNovember 18, 20202 updates tracked since enumeration

NPPES CertifiedNovember 18, 2020

✔ NPI 1154516169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

445 WESTERN BLVD STE T, Jacksonville, NC 28546

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2115326

Coastal Residential Services, Inc Greenbriar - J · Jacksonville, NC

Active · expires Jul 4, 2028

CLIA Number34D2115326

Laboratory TypeGroup Home

Certificate Effective DateJuly 5, 2026

Certificate Expiration DateJuly 4, 2028

Laboratory DirectorCarol R. Wilson

Laboratory Phone(910) 938-9550

Laboratory LocationCoastal Residential Services, Inc Greenbriar - J211 Greenbriar Drive, Jacksonville, NC 28546

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONICA FIKE

Speech-Language Pathologist

445 WESTERN BLVD STE T
JACKSONVILLE, NC 28546

Onslow County (910) 455-1922

COASTAL RESIDENTIAL SERVICES, INC

Community/Behavioral Health

445 WESTERN BLVD STE T
JACKSONVILLE, NC 28546

Onslow County (910) 938-9550

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 Coastal Residential Services's NPI number?

The NPI number for Coastal Residential Services is 1154516169. It was assigned to this organization in the NPPES registry on September 12, 2007.

Where is Coastal Residential Services located?

Coastal Residential Services is located at 445 Western Blvd Ste T, Jacksonville, NC 28546. The listed phone number is (910) 938-9550.

What is Coastal Residential Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Coastal Residential Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2115326) is associated with this NPI, valid through July 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coastal Residential Services was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.