Coastal Community Counseling Services LLC
NPI 1790292787 · Clinical Social Worker · Middletown, NJ
Coastal Community Counseling Services LLC is a Clinical Social Worker organization in Middletown, NJ (NPI 1790292787).
Provider details
- NPI number
- 1790292787
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kellie Illmensee, Owner/Director(732) 610-8396
- License
- 44SC05738600 (NJ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-12-29
- Last updated
- 2025-10-16
- Certified
- 2025-10-16
Frequently asked questions
- What is Coastal Community Counseling Services LLC's NPI number?
- Coastal Community Counseling Services LLC's National Provider Identifier (NPI) is 1790292787, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Community Counseling Services LLC?
- Coastal Community Counseling Services LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Coastal Community Counseling Services LLC located?
- Coastal Community Counseling Services LLC's practice location on file with NPPES is 268 Pelican Rd, Middletown, NJ 07748-3040.
- What is Coastal Community Counseling Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Coastal Community Counseling Services LLC is (732) 610-8396.
- Who is the authorized official for Coastal Community Counseling Services LLC?
- The authorized official listed on Coastal Community Counseling Services LLC's NPPES record is Kellie Illmensee, Owner/Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Community Counseling Services LLC's NPI active?
- Yes — Coastal Community Counseling Services LLC's NPI (1790292787) is active in the NPPES registry as of the last update on 2025-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.