COASTAL SUPPORT SPECIALISTS, INC.
NPI 1780869297
Counselor in Wilmington, NC

Q: What is Coastal Support Specialists, Inc.'s NPI number?

The NPI number for Coastal Support Specialists, Inc. is 1780869297. It was assigned to this organization in the NPPES registry on January 3, 2008.

Q: What is Coastal Support Specialists, Inc.'s specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Active since January 03, 2008

2460 DELANEY AVE, WILMINGTON, NC 28403(910) 792-6130(910) 792-6132 Get Directions Write a Review

NPPES record last updated: August 16, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Coastal Support Specialists, Inc. NPPES

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

COASTAL SUPPORT SPECIALISTS, INC. (NPI 1780869297) is a healthcare organization registered as a counselor in Wilmington, North Carolina and active in the NPI registry since January 2008. The organization lists Camillus (case) P. Van Der Kuijl, Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1780869297

Entity TypeOrganization

Primary Taxonomy101Y00000X

Legal Business NameCOASTAL SUPPORT SPECIALISTS, INC.

Location Address2460 DELANEY AVEWilmington, NC 28403-6062

Mailing Address2460 Delaney AveWilmington, NC 28403-6062 · (910) 792-6130 · Fax (910) 792-6132

Phone(910) 792-6130

Fax(910) 792-6132

Organization SubpartNo

Authorized OfficialCamillus (case) P. Van Der KuijlFinancial Officer · (910) 233-1374

Enumeration DateJanuary 3, 2008

Last NPPES UpdateAugust 16, 2013

✔ NPI 1780869297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedPsychologistTaxonomy 103T00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

2460 DELANEY AVE, Wilmington, NC 28403

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Other Identifiers 2

Medicaid8702029NC

Medicaid6008286NC

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

Other Providers at the Same Location NPPES 8

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

MRS. AMANDA FAYE THOMAS

Social Worker (Clinical)