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SEASIDE PSYCHOTHERAPY LLC
NPI 1225549983
Social Worker - Clinical in Oak Harbor, WA

Active since October 20, 2017
791 SE FIDALGO AVE STE 101, OAK HARBOR, WA 98277(360) 485-0980 Get Directions Write a Review

NPPES record last updated: October 20, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Seaside Psychotherapy Llc NPPES

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

SEASIDE PSYCHOTHERAPY LLC (NPI 1225549983) is a healthcare organization registered as a clinical in Oak Harbor, Washington and active in the NPI registry since October 2017. The organization lists Charlotte Myers, Lcsw/owner, as its authorized official.

NPPES Registry Identity

NPI1225549983
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSEASIDE PSYCHOTHERAPY LLC
Location Address791 SE FIDALGO AVE STE 101Oak Harbor, WA 98277-5505
Mailing Address851 Park AveOak Harbor, WA 98277-8256 · (360) 485-0980
Phone(360) 485-0980
Organization SubpartNo
Authorized OfficialCharlotte MyersLcsw/owner · (208) 404-3247
Enumeration DateOctober 20, 2017
✔ NPI 1225549983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WA · 60512881
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.
791 SE FIDALGO AVE STE 101, Oak Harbor, WA 98277
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Seaside Psychotherapy 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 Seaside Psychotherapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Charlotte Myers, LICSW
Clinical Social Worker
NPI 1144505553
13509 E BRIDGES RD
Elk, WA 99009
(208) 404-3247
✔ PECOS✔ Accepts Medicare251 mi

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 Seaside Psychotherapy LLC's NPI number?

The NPI number for Seaside Psychotherapy LLC is 1225549983. It was assigned to this organization in the NPPES registry on October 20, 2017.

Where is Seaside Psychotherapy LLC located?

Seaside Psychotherapy LLC is located at 791 SE Fidalgo Ave Ste 101, Oak Harbor, WA 98277. The listed phone number is (360) 485-0980.

What is Seaside Psychotherapy LLC's specialty?

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

Is Seaside Psychotherapy LLC enrolled in Medicare?

Yes. Seaside Psychotherapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Seaside Psychotherapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Seaside Psychotherapy 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.

What insurance does Seaside Psychotherapy LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Seaside Psychotherapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Seaside Psychotherapy LLC was last updated on October 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.