COASTAL PSYCHIATRY AND WELLNESS LLC
NPI 1740089416
Nurse Practitioner - Psychiatric/Mental Health in Ashland, VA
About Coastal Psychiatry And Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL PSYCHIATRY AND WELLNESS LLC (NPI 1740089416), doing business as Coastal Psychiatry And Wellness, is a healthcare organization registered as a psychiatric/mental health in Ashland, Virginia and active in the NPI registry since March 2025. The organization lists Timothy Derrick Smith, Ceo And Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
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 Psychiatry And Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Coastal Psychiatry And Wellness LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Psychiatry And Wellness LLC's NPI number?
The NPI number for Coastal Psychiatry And Wellness LLC is 1740089416. It was assigned to this organization in the NPPES registry on March 13, 2025. The provider is doing business as Coastal Psychiatry and Wellness.
Where is Coastal Psychiatry And Wellness LLC located?
Coastal Psychiatry And Wellness LLC is located at 10469 Atlee Station Rd Ste 100, Ashland, VA 23005. The listed phone number is (804) 923-4002.
What is Coastal Psychiatry And Wellness LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Coastal Psychiatry And Wellness LLC enrolled in Medicare?
Yes. Coastal Psychiatry And Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coastal Psychiatry And Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Coastal Psychiatry And Wellness 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. Of these, 1 practice at this address and 2 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 Coastal Psychiatry And Wellness LLC was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Coastal Psychiatry And Wellness Llc · NPI 1740089416
Psychiatric/Mental Health organization in Ashland, Virginia. Organization record, active in the CMS NPPES registry since March 13, 2025.
## Identity
- **NPI:** 1740089416 (Entity type: Organization)
- **Enumerated:** March 13, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Also known as:** Coastal Psychiatry and Wellness (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Timothy Smith, CEO AND PRACTICE MANAGER
## Practice location
- **Address:** 10469 ATLEE STATION RD STE 100, Ashland, VA 23005-8913
- **Phone:** (804) 923-4002
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1740089416) · Data from the CMS NPPES public registry.