COASTAL CHRISTIAN COUNSELING
NPI 1861162042
Social Worker - Clinical in Long Beach, MS

Active since September 17, 2021
112 BUENA VISTA DR, LONG BEACH, MS 39560(681) 242-7651 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Coastal Christian Counseling NPPES

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

COASTAL CHRISTIAN COUNSELING (NPI 1861162042) is a healthcare organization registered as a clinical in Long Beach, Mississippi and active in the NPI registry since September 2021. The organization lists Marlena Janette Pique, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1861162042
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCOASTAL CHRISTIAN COUNSELING
Location Address112 BUENA VISTA DRLong Beach, MS 39560-5703
Mailing Address37 Vane DrMartinsburg, WV 25403-0200 · (681) 242-7651
Organization SubpartNo
Authorized OfficialMarlena Janette PiqueOwner/therapist · (681) 242-7651
Enumeration DateSeptember 17, 2021
NPPES CertifiedSeptember 17, 2021
✔ NPI 1861162042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
112 BUENA VISTA DR, Long Beach, MS 39560

Other Identifiers 1

OtherC9986MS · Clinical Social Work License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

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
StateMississippiEnrollment IDO20220104000122Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Coastal Christian Counseling, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Social Worker
NPI 1174856835
180 DEBUYS RD
Biloxi, MS 39531
(228) 388-0650
✔ PECOS11 mi
Clinical Social Worker
NPI 1942569181
18714 N VILLAGE
Hagerstown, MD 21742
(301) 733-0330
✔ PECOS913 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 Christian Counseling's NPI number?

The NPI number for Coastal Christian Counseling is 1861162042. It was assigned to this organization in the NPPES registry on September 17, 2021.

Where is Coastal Christian Counseling located?

Coastal Christian Counseling is located at 112 Buena Vista Dr, Long Beach, MS 39560. The listed phone number is (681) 242-7651.

What is Coastal Christian Counseling's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Coastal Christian Counseling enrolled in Medicare?

Yes. Coastal Christian Counseling is registered in the Medicare PECOS enrollment system.

When is Coastal Christian Counseling'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 (Mississippi, Clinic/Group Practice) is due for revalidation by March 31, 2027. 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 Christian Counseling?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Coastal Christian Counseling. 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.

What insurance does Coastal Christian Counseling accept?

Health plans from Molina Healthcare list Coastal Christian Counseling as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coastal Christian Counseling was last updated on September 17, 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.