Crista Coffing-blain, LMHC - Counselor in Jacksonville Beach, FL

Crista Coffing-blain, LMHC is a Counselor - Mental Health based in Jacksonville Beach, Florida. Crista Coffing-blain is licensed to practice in Florida (license number IMH11428) and her current practice location is 1300 Shetter Ave, 1207, Jacksonville Beach, Florida. She can be reached at her office (for appointments etc.) via phone at (904) 434-2152.

NPI number for Crista Coffing-blain is 1053723411 and her current mailing address is 2380 3rd St S Ste 2, Jacksonville Beach, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053723411.

Contact Information

Crista Coffing-blain, LMHC
1300 Shetter Ave, 1207,
Jacksonville Beach, FL 32250-3455
(904) 434-2152
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameCrista Coffing-blain
GenderFemale
SpecialityCounselor - Mental Health
Location1300 Shetter Ave, Jacksonville Beach, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053723411
  • Provider Enumeration Date: 05/20/2014
  • Last Update Date: 11/10/2020

Medical Identifiers

Medical identifiers for Crista Coffing-blain such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053723411NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor ATR00-141 (Florida)Secondary
101YM0800XCounselor - Mental Health 16915 (Florida)Secondary
221700000XArt Therapist 00-141 (New Mexico)Secondary
221700000XArt Therapist 00-141 (Florida)Secondary
101YM0800XCounselor - Mental Health IMH11428 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crista Coffing-blain is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Crista Coffing-blain, LMHC
2380 3rd St S Ste 2,
Jacksonville Beach, FL 32250-8038

Ph: (904) 538-0680
Crista Coffing-blain, LMHC
1300 Shetter Ave, 1207,
Jacksonville Beach, FL 32250-3455

Ph: (904) 434-2152

Reviews and Comments


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