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COASTAL CONCIERGE COUNSELING, LLC
NPI 1750055067
Community/Behavioral Health in Savannah, GA

Active since August 02, 2021
1 MARSH HAVEN LN, SAVANNAH, GA 31411(404) 304-4784 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Coastal Concierge Counseling, Llc NPPES

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

COASTAL CONCIERGE COUNSELING, LLC (NPI 1750055067) is a healthcare organization registered as a community/behavioral health in Savannah, Georgia and active in the NPI registry since August 2021. The organization lists Kimela M Boone, Owner, as its authorized official.

NPPES Registry Identity

NPI1750055067
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOASTAL CONCIERGE COUNSELING, LLC
Location Address1 MARSH HAVEN LNSavannah, GA 31411-2718
Mailing Address1 Marsh Haven LnSavannah, GA 31411-2718 · (404) 304-4784
Phone(404) 304-4784
Organization SubpartNo
Authorized OfficialKimela M BooneOwner · (404) 304-4784
Enumeration DateAugust 2, 2021
Last NPPES UpdateAugust 4, 2021
NPPES CertifiedAugust 4, 2021
✔ NPI 1750055067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1 MARSH HAVEN LN, Savannah, GA 31411
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coastal Concierge Counseling, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateSouth CarolinaEnrollment IDO20211202000116Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Coastal Concierge Counseling, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kimela Boone, LCSW
Clinical Social Worker
NPI 1588156418
1 MARSH HAVEN LN
Savannah, FL 34957
(404) 304-4784
✔ PECOS✔ Accepts Medicare324 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 Concierge Counseling, LLC's NPI number?

The NPI number for Coastal Concierge Counseling, LLC is 1750055067. It was assigned to this organization in the NPPES registry on August 2, 2021.

Where is Coastal Concierge Counseling, LLC located?

Coastal Concierge Counseling, LLC is located at 1 Marsh Haven Ln, Savannah, GA 31411. The listed phone number is (404) 304-4784.

What is Coastal Concierge Counseling, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Coastal Concierge Counseling, LLC enrolled in Medicare?

Yes. Coastal Concierge Counseling, LLC is registered in the Medicare PECOS enrollment system.

When is Coastal Concierge Counseling, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Carolina, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Coastal Concierge Counseling, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Coastal Concierge Counseling, 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 Concierge Counseling, LLC was last updated on August 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.