COASTAL MIND OVER MATTER LLC
NPI 1447197157
Nurse Practitioner - Psychiatric/Mental Health in Conway, SC

Active since April 30, 2026
1354 BOSWELL CT, CONWAY, SC 29526(843) 653-9850 Get Directions Write a Review

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

About Coastal Mind Over Matter Llc NPPES

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

COASTAL MIND OVER MATTER LLC (NPI 1447197157) is a healthcare organization registered as a psychiatric/mental health in Conway, South Carolina and active in the NPI registry since April 2026. The organization lists Christina Stone, Owner, as its authorized official.

NPPES Registry Identity

NPI1447197157
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCOASTAL MIND OVER MATTER LLC
Location Address1354 BOSWELL CTConway, SC 29526-9550
Mailing Address1354 Boswell CtConway, SC 29526-9550 · (843) 653-9850
Organization SubpartNo
Authorized OfficialChristina StoneOwner · (843) 653-9850
Enumeration DateApril 30, 2026
NPPES CertifiedApril 30, 2026
✔ NPI 1447197157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse PractitionerTaxonomy 363L00000X
1354 BOSWELL CT, Conway, SC 29526

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Coastal Mind Over Matter 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 Coastal Mind Over Matter LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1356644322
1113 CHURCH ST
Conway, SC 29526
(843) 248-6269
✔ PECOS✔ Accepts Medicare5.0 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 Coastal Mind Over Matter LLC's NPI number?

The NPI number for Coastal Mind Over Matter LLC is 1447197157. It was assigned to this organization in the NPPES registry on April 30, 2026.

Where is Coastal Mind Over Matter LLC located?

Coastal Mind Over Matter LLC is located at 1354 Boswell Ct, Conway, SC 29526. The listed phone number is (843) 653-9850.

What is Coastal Mind Over Matter LLC's specialty?

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

Is Coastal Mind Over Matter LLC enrolled in Medicare?

Yes. Coastal Mind Over Matter LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Mind Over Matter LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Coastal Mind Over Matter 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 Coastal Mind Over Matter LLC was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.