SEASIDE BEHAVIORAL HEALTH
NPI 1295284255
Counselor in Virginia Beach, VA

Q: What is Seaside Behavioral Health's NPI number?

The NPI number for Seaside Behavioral Health is 1295284255. It was assigned to this organization in the NPPES registry on September 30, 2016.

Q: What is Seaside Behavioral Health's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Active since September 30, 2016

1072 LASKIN RD STE 104, VIRGINIA BEACH, VA 23451(757) 648-8605(757) 648-1363 Get Directions Write a Review

NPPES record last updated: September 30, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Seaside Behavioral Health NPPES

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

SEASIDE BEHAVIORAL HEALTH (NPI 1295284255) is a healthcare organization registered as a counselor in Virginia Beach, Virginia and active in the NPI registry since September 2016. The organization lists Carolyn A Baxter, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1295284255

Entity TypeOrganization

Primary Taxonomy101Y00000X

Legal Business NameSEASIDE BEHAVIORAL HEALTH

Location Address1072 LASKIN RD STE 104Virginia Beach, VA 23451-6387

Mailing Address1072 Laskin Rd Ste 104Virginia Beach, VA 23451-6387 · (757) 648-8605 · Fax (757) 648-1363

Phone(757) 648-8605

Fax(757) 648-1363

Organization SubpartNo

Authorized OfficialCarolyn A BaxterPractice Administrator · (757) 648-8605

Enumeration DateSeptember 30, 2016

✔ NPI 1295284255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1072 LASKIN RD STE 104, Virginia Beach, VA 23451

Open in Google Maps ↗

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)

Seaside Behavioral Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Seaside Behavioral Health, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Jennifer Brown, PHM-CNS/ NP

Certified Clinical Nurse Specialist (CNS)

NPI 1063405686

1072 LASKIN RD SUITE 104
Virginia Beach, VA 23451

(757) 648-8605

✔ PECOSSame address

Laurie Grant, LCSW

Clinical Social Worker

NPI 1033261938

1072 LASKIN RD STE 104
Virginia Beach, VA 23451

(757) 648-8605

✔ PECOSSame address

Jenny Willis, NP

Nurse Practitioner

NPI 1740659135

1072 LASKIN RD STE 104
Virginia Beach, VA 23451

(757) 648-8605

✔ PECOSSame address

Amy Karkane, LPC, LMFT

Marriage and Family Therapist

NPI 1861608168

297 INDEPENDENCE BLVD SUITE 212
Virginia Beach, VA 23462

(757) 385-0639

✔ PECOS8.2 mi

Tina Matthews-Hayes, MSN, PMHNP-BC, FNP-C

Nurse Practitioner

NPI 1063726578

6350 CENTER DR STE 102
Norfolk, VA 23502

(503) 922-2999

✔ PECOS✔ Accepts Medicare11 mi

Renee Strelitz, LCSW

Clinical Social Worker

NPI 1679891865

420 N CENTER DR BUILDING 11 SUITE 141
Norfolk, VA 23502

(757) 466-0700

✔ PECOS11 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 Behavioral Health's NPI number?

The NPI number for Seaside Behavioral Health is 1295284255. It was assigned to this organization in the NPPES registry on September 30, 2016.

Where is Seaside Behavioral Health located?

Seaside Behavioral Health is located at 1072 Laskin Rd Ste 104, Virginia Beach, VA 23451. The listed phone number is (757) 648-8605.

What is Seaside Behavioral Health's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Seaside Behavioral Health enrolled in Medicare?

Yes. Seaside Behavioral Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Seaside Behavioral Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Seaside Behavioral Health, in Certified Clinical Nurse Specialist (CNS), Clinical Social Worker, Marriage and Family Therapist and Nurse Practitioner. 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. Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Seaside Behavioral Health was last updated on September 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.