Tideland Mental Health Center

Overview

Tideland Mental Health Center is a health care provider (organization) practicing in Washington, North Carolina. The National Provider Identifier (NPI) is #1801806500, which was assigned on August 8, 2006, and the registration record was last updated on August 22, 2020. The practitioner's main practice location is at 1308 Highland Dr, Washington, NC 27889-3424; the contact telephone number is 2529468061, and the fax number is 2529468078. The authorized official for Tideland Mental Health Center is Ms. Barbara R Moore (Area Director).

Provider Information

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

Authorized Official Information

Official Name MS. BARBARA R MOORE
Official Title AREA DIRECTOR
Telephone 2529468061

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
X101Y00000XCounselor193200000X MULTI-SPECIALTY GROUP
X101YP2500XCounselorProfessional193200000X MULTI-SPECIALTY GROUP
X1041C0700XSocial WorkerClinical193200000X MULTI-SPECIALTY GROUP
X106H00000XMarriage & Family Therapist193200000X MULTI-SPECIALTY GROUP

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
6005470NCMEDICAID

Taxonomy Information

Primary Taxonomy

Taxonomy

Other Taxonomy

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

Other Taxonomy

Code 101YP2500X
Taxonomy Professional Counselor
Classification Counselor
Specialization Professional
Grouping Behavioral Health & Social Service Providers
Definition: Definition to come...

Other Taxonomy

Code 1041C0700X
Taxonomy Clinical Social Worker
Classification Social Worker
Specialization Clinical
Grouping Behavioral Health & Social Service Providers
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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Other Taxonomy

Code 106H00000X
Taxonomy Marriage & Family Therapist
Classification Marriage & Family Therapist
Grouping Behavioral Health & Social Service Providers
Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Location Information

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

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Beaufort County Hospital Association Inc · Tideland Psychiatric Services 1308 Highland Dr, Washington, NC 27889-3424Psychiatry Physician2007-04-10
Jesse Hazel 1308 Highland Dr, Washington, NC 27889-3424Addiction (Substance Use Disorder) Counselor2016-10-13
Joseph Allen Mihalovich 1308 Highland Dr, Washington, NC 27889-3424Psychiatry Physician2018-02-14
Sadie Gurley 1308 Highland Dr, Washington, NC 27889-3424Clinical Social Worker2007-03-05
Integrated Family Services, PLLC 1308 Highland Dr, Washington, NC 27889-3424Community/Behavioral Health Agency2009-04-09
Kalavathi Kolappa 1308 Highland Dr, Washington, NC 27889-3424Psychiatry Physician2006-11-14
Manoranjan Muthukanagaraj 1308 Highland Dr, Washington, NC 27889-3485Internal Medicine Physician2015-07-14
Cassandra Sloan 1308 Highland Dr, Washington, NC 27889-3485Clinical Social Worker2020-02-24
Ann Warmack Kearney 1308 Highland Dr, Washington, NC 27889-3485Clinical Social Worker2021-08-30
Marquita Shanta Harris 1308 Highland Dr, Washington, NC 27889-3485Psychiatric/Mental Health Nurse Practitioner2022-07-18
Find all providers in the same location

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Eastern Dermatology & Pathology, Pa 1314 Highland Dr, Washington, NC 27889-3424Dermatology Physician2010-01-18

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Mary Lewis Scarbraugh 408 E. 11th St., Washington, NC 27889Clinical Social Worker2011-05-12
Country Living Guest Home #6 252 Dan Taylor Rd, Washington, NC 27889Community/Behavioral Health Agency2010-08-03
Walgreen Co · Rite Aid 951 Washington Square Mall, Washington, NC 27889Durable Medical Equipment & Medical Supplies2017-09-12
John Bailey Bland II 610 W. 15th. St., Washington, NC 27889Chiropractor2017-10-11
Country Living Guest Home #7 207 W 11th St, Washington, NC 27889Community/Behavioral Health Agency2012-11-26
Enc Physical Therapy, LLC 1100 West 5th Street, Washington, NC 27889Physical Therapy Assistant2021-12-10
Jennifer Marzolf Richardson · Jennifer Michele Marzolf 1207 Highland Drive, Washington, NC 27889Family Nurse Practitioner2009-03-20
Emily Hodges Hall 627 E 12th Street, Washington, NC 27889Pharmacy2019-11-11
Caregenx Home Care LLC 1005 N Brown St, Washington, NC 27889In Home Supportive Care Agency2021-01-14
Country Living Guest Home #8 618 Plant St, Washington, NC 27889Community/Behavioral Health Agency2012-04-04
Find all providers in the same zip code

Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
North Central Iowa Mental Health Center, Inc · Berryhill Center for Mental Health 212 Lafayette Ave, Story City, IA 50248-1454Mental Health Clinic/Center (Including Community Mental Health Center)2011-10-18
North Central Iowa Mental Health Center, Inc · Berryhill Center for Mental Health 420 Kenyon Rd, Fort Dodge, IA 50501-5749Mental Health Clinic/Center (Including Community Mental Health Center)2011-10-31
Department of Health Services - Mental Health · Community Mental Health Center-Cloverdale Regional Satelitte 100 W 3rd St, Cloverdale, CA 95425-3204Mental Health Clinic/Center (Including Community Mental Health Center)2008-02-08
Tideland Mental Health Center- Swan Quarter Office 1095 Main Street, Swan Quarter, NC 27885-9753Counselor2007-03-05
Tideland Mental Health Center- Columbia Office 1208 Highway 64 East, Columbia, NC 27925Counselor2007-03-06
North Central Iowa Mental Health Center, Inc · Berryhill Center for Mental Health 1050 15th St N, Humboldt, IA 50548-1076Mental Health Clinic/Center (Including Community Mental Health Center)2012-04-12
North Central Iowa Mental Health Center, Inc · Berryhill Center for Mental Health 500 Fair Meadow Dr, Webster City, IA 50595-3209Mental Health Clinic/Center (Including Community Mental Health Center)2007-02-01
North Central Iowa Mental Health Center, Inc · Berryhill Center for Mental Health 606 Nw 7th St, Pocahontas, IA 50574-1028Mental Health Clinic/Center (Including Community Mental Health Center)2008-04-10
Tideland Mental Health Center- Matt Opp 69 Church Street, Fairfield, NC 27826Counselor2007-03-06
Tideland Mental Health Center- Williamston Office 210 W Liberty St, Williamston, NC 27892-1712Counselor2007-03-05

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.