TIDELAND MENTAL HEALTH CENTER
Counselor

Address: 1308 Highland Dr, Washington, NC 27889-3424

TIDELAND MENTAL HEALTH CENTER (NPI# 1801806500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801806500
Entity Type Organization
Organization Name TIDELAND MENTAL HEALTH CENTER
Practice Address 1308 Highland Dr
Washington
NC 27889-3424
US
Practice Telephone 2529468061
Practice Fax Number 2529468078
Mailing Address 1308 Highland Dr
Washington
NC 27889-3424
US
Mailing Telephone 2529468061
Mailing Fax Number 2529468078
Enumeration Date 2006-08-08
Last Update Date 2020-08-22
Authorized Official Telephone 2529468061
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
X 101Y00000X Counselor 193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
X 101YP2500X Counselor
Specialization: Professional
193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
X 1041C0700X Social Worker
Specialization: Clinical
193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
X 106H00000X Marriage & Family Therapist 193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers

Other Provider Identifiers

Identifier State Issuer Type Code
6005470 NC MEDICAID

Office Location

Street Address 1308 HIGHLAND DR
City WASHINGTON
State NC
Zip Code 27889-3424

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346804739 Charnissa Nicole Batts Nurse Practitioner - Psych/Mental Health 1308 Highland Dr, Washington, NC 27889-3485 2019-05-01
1881713683 Beaufort County Hospital Association Inc · Pamlico Psychiatric Services Psychiatry & Neurology - Psychiatry 1308 Highland Dr, Washington, NC 27889-3424 2007-03-29
1972053973 Jesse Hazel Counselor - Addiction (Substance Use Disorder) 1308 Highland Dr, Washington, NC 27889-3424 2016-10-13
1649948308 Ann Warmack Kearney Social Worker - Clinical 1308 Highland Dr, Washington, NC 27889-3485 2021-08-30
1720221559 Integrated Family Services, Pllc Community/Behavioral Health 1308 Highland Dr, Washington, NC 27889-3424 2009-04-09
1750765244 Manoranjan Muthukanagaraj Student in an Organized Health Care Education/Training Program 1308 Highland Dr, Washington, NC 27889-3485 2015-07-14
1891867115 Kalavathi Kolappa Psychiatry & Neurology - Psychiatry 1308 Highland Dr, Washington, NC 27889-3424 2006-11-14
1154955680 Cassandra Sloan Social Worker - Clinical 1308 Highland Dr, Washington, NC 27889-3485 2020-02-24
1528197407 Sadie Gurley Social Worker - Clinical 1308 Highland Dr, Washington, NC 27889-3424 2007-03-05
1386144574 Joseph Allen Mihalovich Physician Assistant 1308 Highland Dr, Washington, NC 27889-3424 2018-02-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760713671 Eastern Dermatology & Pathology, Pa Dermatology 1314 Highland Dr, Washington, NC 27889-3424 2010-01-18

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1619094331 Kathy Spruill Physical Therapy Assistant 1375 Cowell Farm Road, Washington, NC 27889 2007-03-26
1295929669 Robert E Lavictoire Dc PC Chiropractor 818 W 5th Street, Washington, NC 27889 2007-08-29
1134324775 Zeno L Edwards IIi Dentist - General Practice 1103 Brown Street, Washington, NC 27889 2007-06-15
1790175917 Inner Coastal Orthotics and Prosthetics Orthotist 1102 North Brown St., Washington, NC 27889 2015-01-26
1508455536 Caregenx Home Care LLC In Home Supportive Care 1005 N Brown St, Washington, NC 27889 2021-01-14
1396755401 Hospital Pharmacy of Washington Inc · Tayloes Hospital Pharmacy Pharmacy 601 East 12th Street, Washington, NC 27889 2006-08-09
1952078057 Debra S Pomeroy Social Worker - Clinical 409 W. Main Street, Washington, NC 27889 2021-08-26
1336786326 Coastal Solutions LLC Counselor - Mental Health 51 Hwy 33 W, Chocowinity, NC 27889 2019-12-09
1255780136 County of Beaufort · Beaufort County Ems Ambulance - Land Transport 1420 Highland Drive, Washington, NC 27889 2016-06-10
1851474274 Ridgewood Rlc LLC Skilled Nursing Facility 1624 Highland Drive, Washington, NC 27889 2006-10-21
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy 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.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578232930 Kadambari Narendran Counselor 1428 K St Se, Washington, DC 20003-3234 2021-09-09
1992478317 Leyla Bedru Ahmed Counselor 6630 Georgia Ave Nw Apt 302, Washington, DC 20012-2543 2021-07-30
1144893900 Robin Smith · Robin Smith Counselor 1430 Cedar St Se Apt 102, Washington, DC 20020-5012 2021-07-20
1619540549 Lisa Emralino Counselor 1430 Cedar St Se, Washington, DC 20020-5012 2021-07-19
1164093357 Lauren Ostapowicz Counselor 50 E Wylie Ave # Units23, Washington, PA 15301-2059 2021-07-08
1144891540 Taylor L Venetian Counselor 50 E Wylie Ave Ste 2&3, Washington, PA 15301-2059 2021-07-07
1215506225 Tasha Milstead Counselor 900 Varney St Se Apt 116, Washington, DC 20032-4314 2021-06-23
1093382756 Cornerstone Kazen Co. Counselor 1835 7th St Nw Ste 126, Washington, DC 20001-3107 2021-06-09
1417532680 Crishone C Johnson Counselor 5448 Bass Pl Se, Washington, DC 20019-6370 2021-03-10
1881289890 Mirta Lisso Carruthers Counselor 6th and Bryant Streets, Washington, DC 20059-0001 2021-03-02
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Competitor

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City WASHINGTON
Zip Code 27889

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.