COASTAL THERAPY & FAMILY SERVICES
NPI 1780449132
Marriage & Family Therapist in Pascagoula, MS
About Coastal Therapy & Family Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL THERAPY & FAMILY SERVICES (NPI 1780449132) is a healthcare organization registered as a marriage & family therapist in Pascagoula, Mississippi and active in the NPI registry since February 2024. The organization lists Randy Kirksey, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Therapy & Family Services 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 Therapy & Family Services, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Randy S Kirksey Marriage And Family Therapist's NPI number?
The NPI number for Randy S Kirksey Marriage And Family Therapist is 1780449132. It was assigned to this organization in the NPPES registry on February 15, 2024. The provider is doing business as Coastal Therapy & Family Services.
Where is Randy S Kirksey Marriage And Family Therapist located?
Randy S Kirksey Marriage And Family Therapist is located at 912 Convent Ave, Pascagoula, MS 39567. The listed phone number is (228) 990-3701.
What is Randy S Kirksey Marriage And Family Therapist's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Randy S Kirksey Marriage And Family Therapist enrolled in Medicare?
Yes. Randy S Kirksey Marriage And Family Therapist is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Randy S Kirksey Marriage And Family Therapist?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Randy S Kirksey Marriage And Family Therapist. 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 Randy S Kirksey Marriage And Family Therapist was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Coastal Therapy & Family Services · NPI 1780449132
Marriage & Family Therapist organization in Pascagoula, Mississippi. Organization record, active in the CMS NPPES registry since February 15, 2024.
## Identity
- **NPI:** 1780449132 (Entity type: Organization)
- **Enumerated:** February 15, 2024
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **Legal business name:** Randy S Kirksey Marriage And Family Therapist
- **Organization subpart:** No
- **Authorized official:** Randy Kirksey, OWNER
## Practice location
- **Address:** 912 CONVENT AVE, Pascagoula, MS 39567-4334
- **Phone:** (228) 990-3701
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Marriage and Family Therapist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1780449132) · Data from the CMS NPPES public registry.