BEACH STREET COUNSELING, LLC
NPI 1841072600
Clinic/Center - Adult Mental Health in Daytona Beach, FL

Active since October 17, 2023
140 S BEACH ST STE 414, DAYTONA BEACH, FL 32114(386) 299-0026 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Beach Street Counseling, Llc NPPES

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

BEACH STREET COUNSELING, LLC (NPI 1841072600) is a healthcare organization registered as an adult mental health in Daytona Beach, Florida and active in the NPI registry since October 2023. The organization lists Jeannie Jenuwine, Owner, as its authorized official.

NPPES Registry Identity

NPI1841072600
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameBEACH STREET COUNSELING, LLC
Location Address140 S BEACH ST STE 414Daytona Beach, FL 32114-4472
Mailing Address140 S Beach St Ste 414Daytona Beach, FL 32114-4472 · (386) 299-0026
Organization SubpartNo
Authorized OfficialJeannie JenuwineOwner · (386) 299-0026
Enumeration DateOctober 17, 2023
NPPES CertifiedOctober 17, 2023
✔ NPI 1841072600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
140 S BEACH ST STE 414, Daytona Beach, FL 32114

Other Names 1

Other NameBeach Street Counseling

Other Identifiers 1

Other1851672646MI · Npi

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beach Street Counseling, 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 Beach Street Counseling, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1851672646
140 S BEACH ST STE 414
Daytona Beach, FL 32114
(386) 299-0026
✔ PECOS✔ Accepts MedicareSame address

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 Beach Street Counseling, LLC's NPI number?

The NPI number for Beach Street Counseling, LLC is 1841072600. It was assigned to this organization in the NPPES registry on October 17, 2023. The provider is also known as Beach Street Counseling.

Where is Beach Street Counseling, LLC located?

Beach Street Counseling, LLC is located at 140 S Beach St Ste 414, Daytona Beach, FL 32114. The listed phone number is (386) 299-0026.

What is Beach Street Counseling, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Beach Street Counseling, LLC enrolled in Medicare?

Yes. Beach Street Counseling, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beach Street Counseling, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Beach Street 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 Beach Street Counseling, LLC was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.