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COASTAL ROOTS PSYCHIATRY, LLC
NPI 1417785569
Nurse Practitioner - Psychiatric/Mental Health in Coos Bay, OR

Active since July 22, 2024
180 S EMPIRE BLVD, COOS BAY, OR 97420(541) 543-2066(503) 465-3842 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 15, 2025, Jul 22, 2024 (2 updates tracked since 2024).

About Coastal Roots Psychiatry, Llc NPPES

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

COASTAL ROOTS PSYCHIATRY, LLC (NPI 1417785569) is a healthcare organization registered as a psychiatric/mental health in Coos Bay, Oregon and active in the NPI registry since July 2024. The organization lists Ashley Anne Phillips, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1417785569
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCOASTAL ROOTS PSYCHIATRY, LLC
Location Address180 S EMPIRE BLVDCoos Bay, OR 97420-3352
Mailing Address180 S Empire BlvdCoos Bay, OR 97420-3352 · (541) 543-2066 · Fax (503) 465-3842
Phone(541) 543-2066
Fax(503) 465-3842
Organization SubpartNo
Authorized OfficialAshley Anne PhillipsPmhnp · (541) 294-7215
Enumeration DateJuly 22, 2024
Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1417785569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
180 S EMPIRE BLVD, Coos Bay, OR 97420
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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 BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 4

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

BEE MENTAL WELLNESS
Nurse Practitioner (Psychiatric/Mental Health)
180 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (775) 304-3811
DR. KAREN LOVE BAISINGER D.MIN.
Counselor (Pastoral)
180 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 915-0335
DR. TYLER DAWN COOPER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
180 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (775) 304-3811
SULIS MIND AND BODY LLC
Nurse Practitioner (Psychiatric/Mental Health)
180 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 203-0154

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 Roots Psychiatry, LLC's NPI number?

The NPI number for Coastal Roots Psychiatry, LLC is 1417785569. It was assigned to this organization in the NPPES registry on July 22, 2024.

Where is Coastal Roots Psychiatry, LLC located?

Coastal Roots Psychiatry, LLC is located at 180 S Empire Blvd, Coos Bay, OR 97420. The listed phone number is (541) 543-2066.

What is Coastal Roots Psychiatry, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Coastal Roots Psychiatry, LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Coastal Roots Psychiatry, 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 Coastal Roots Psychiatry, LLC was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.