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).
| Nation Provider ID (NPI) | 1801806500 |
| Entity Type | Organization |
| Organization Name | TIDELAND MENTAL HEALTH CENTER |
| Practice Address |
1308 Highland Dr Washington NC 27889-3424 |
| Practice Telephone | 2529468061 |
| Practice Fax Number | 2529468078 |
| Mailing Telephone | 2529468061 |
| Mailing Fax Number | 2529468078 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. BARBARA R MOORE (AREA DIRECTOR) |
| Authorized Official Telephone | 2529468061 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| X | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| X | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| X | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6005470 | 05 |
| Street Address |
1308 HIGHLAND DR |
| City | WASHINGTON |
| State | NC |
| Zip Code | 27889-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154955680 | Cassandra Sloan | Social Worker | 1308 Highland Dr, Washington, NC 27889-3485 | 2020-02-24 |
| 1346804739 | Charnissa Nicole Batts | Nurse Practitioner | 1308 Highland Dr, Washington, NC 27889-3485 | 2019-05-01 |
| 1386144574 | Joseph Allen Mihalovich | Psychiatry & Neurology | 1308 Highland Dr, Washington, NC 27889-3424 | 2018-02-14 |
| 1972053973 | Jesse Hazel | Counselor | 1308 Highland Dr, Washington, NC 27889-3424 | 2016-10-13 |
| 1750765244 | Manoranjan Muthukanagaraj | Internal Medicine | 1308 Highland Dr, Washington, NC 27889-3485 | 2015-07-14 |
| 1720221559 | Integrated Family Services, Pllc | Community/Behavioral Health | 1308 Highland Dr, Washington, NC 27889-3424 | 2009-04-09 |
| 1013130293 | Beaufort County Hospital Association Inc | Psychiatry & Neurology | 1308 Highland Dr, Washington, NC 27889-3424 | 2007-04-10 |
| 1881713683 | Beaufort County Hospital Association Inc | Psychiatry & Neurology | 1308 Highland Dr, Washington, NC 27889-3424 | 2007-03-29 |
| 1528197407 | Sadie Gurley | Social Worker | 1308 Highland Dr, Washington, NC 27889-3424 | 2007-03-05 |
| 1891867115 | Kalavathi Kolappa | Psychiatry & Neurology | 1308 Highland Dr, Washington, NC 27889-3424 | 2006-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336786326 | Coastal Solutions LLC | Counselor | 51 Hwy 33 W, Chocowinity, NC 27889 | 2019-12-09 |
| 1952946246 | Emily Hodges Hall | Pharmacy | 627 E 12th Street, Washington, NC 27889 | 2019-11-11 |
| 1649780032 | John Bailey Bland II | Chiropractor | 610 W. 15th. St., Washington, NC 27889 | 2017-10-11 |
| 1255780136 | County of Beaufort | Ambulance | 1420 Highland Drive, Washington, NC 27889 | 2016-06-10 |
| 1790175917 | Inner Coastal Orthotics and Prosthetics | Orthotist | 1102 North Brown St., Washington, NC 27889 | 2015-01-26 |
| 1972847390 | Country Living Guest Home #7 | Community/Behavioral Health | 207 W 11th St, Washington, NC 27889 | 2012-11-26 |
| 1104182005 | Country Living Guest Home #8 | Community/Behavioral Health | 618 Plant St, Washington, NC 27889 | 2012-04-04 |
| 1881986537 | Mary Lewis Scarbraugh | Social Worker | 408 E. 11th St., Washington, NC 27889 | 2011-05-12 |
| 1952615825 | Country Living Guest Home #6 | Community/Behavioral Health | 252 Dan Taylor Rd, Washington, NC 27889 | 2010-08-03 |
| 1376784371 | Jennifer Michele Richardson | Nurse Practitioner | 1207 Highland Drive, Washington, NC 27889 | 2009-03-20 |
| Find all providers in zip 27889 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909400 | Garrison Dugger | Counselor | 2502 18th St Se, Washington, DC 20020-3214 | 2020-10-15 |
| 1568079440 | Gracefully Fulfilled Counseling and Coaching Services | Counselor | 219 56th Place Ne, Washington, DC 20019 | 2020-09-25 |
| 1487260576 | Andre Ruth-el | Counselor | 1725 I St Nw # Dc, Washington, DC 20006-2403 | 2020-09-23 |
| 1093322125 | Shannarese Sims | Counselor | 1615 Franklin St Ne Apt 305, Washington, DC 20018-2041 | 2020-09-23 |
| 1336753714 | Ebonie Hawkins | Counselor | 101 Xenia St Suite 200 Sw, Washington, DC 20032 | 2020-09-03 |
| 1497367973 | Naimah Zakiyyah Saleem | Counselor | 5205 A St Se, Washington, DC 20019-6434 | 2020-08-17 |
| 1710596473 | Aubrey Rainbow | Counselor | 4005 Wisconsin Ave Nw, Washington, DC 20016-7774 | 2020-07-29 |
| 1225646250 | Darneya Latoya Monk | Counselor | 1514 Fort Davis St Se, Washington, DC 20020-6026 | 2020-07-15 |
| 1841818754 | Sarah May Gaudreau | Counselor | 6604 2nd St Nw, Washington, DC 20012-2130 | 2020-07-07 |
| 1134745219 | Joshua White | Counselor | 2800 Woodley Rd Nw Apt 18, Washington, DC 20008-4163 | 2020-06-24 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 27889 |
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| 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.