TIDAL COUNSELING LLC
NPI 1255728614
Counselor - Professional in Old Saybrook, CT

NPI Status: Active since April 22, 2015

Contact Information

263 MAIN ST
SUITE 304
OLD SAYBROOK, CT
ZIP 06475
Phone: (860) 876-7488

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  • Organization
  • Counselor
  • Professional

About TIDAL COUNSELING LLC

This page provides the complete NPI Profile along with additional information for Tidal Counseling Llc, a provider established in Old Saybrook, Connecticut operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1255728614 assigned on April 2015. The practitioner's primary taxonomy code is 101YP2500X with license number 001498 (CT). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Emily Greene Reynolds Lpc (Owner / Psychotherapist)

NPI
1255728614
Provider Name
TIDAL COUNSELING LLC
Entity Type
Organization
Location Address
263 MAIN ST SUITE 304 OLD SAYBROOK, CT 06475
Location Phone
(860) 876-7488
Mailing Address
263 MAIN ST SUITE 304 OLD SAYBROOK, CT 06475
Mailing Phone
(860) 876-7488
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-22-2015
Last Update Date
04-22-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
001498
License State
CT

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. EMILY GREENE REYNOLDS LPC

Authorized Official Title
OWNER / PSYCHOTHERAPIST
Authorized Official Phone
(860) 876-7488

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255728614
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221051421662
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 4 + 2 + 1 + 6 + 6 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1255728614 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861499949 PIT KEUNG PETER LAI DDS
Individual
Dentist (General Practice)263 MAIN ST
OLD SAYBROOK, CT 06475
(860) 388-4433
1023006145 HEATHER SLOCOMBE RDH
Individual
Dental Hygienist263 MAIN ST
OLD SAYBROOK, CT 06475
(860) 388-4433
1881664514 LARISA ELLIS DDS
Individual
Dentist (General Practice)263 MAIN ST
OLD SAYBROOK, CT 06475
(860) 388-4433
1275636292 ELIZABETH A FABRIZI APRN
Individual
Nurse Practitioner (Women's Health)263 MAIN ST
OLD SAYBROOK, CT 06475
(860) 388-4459
1063510162DR. MARK DAVID ARON PH.D.
Individual
Psychologist263 MAIN ST SUITE 304
OLD SAYBROOK, CT 06475
(860) 388-1313
1992892319 CHRISTINE R CROSSON APRN
Individual
Nurse Practitioner (Psychiatric/Mental Health)263 MAIN ST STE 304
OLD SAYBROOK, CT 06475
(860) 395-6671
1659410462MR. JEFFREY D BURKHOLZ
Individual
Hearing Instrument Specialist263 MAIN ST
OLD SAYBROOK, CT 06475
(860) 388-3053
1518008382THE CONNECTION INC.
Organization
Clinic/Center (Adult Mental Health)263 MAIN ST
OLD SAYBROOK, CT 06475
(860) 343-5510
1083851661SOUND VIEW BEHAVIORAL HEALTH,LLC
Organization
Community/Behavioral Health263 MAIN ST SUITE 304
OLD SAYBROOK, CT 06475
(860) 395-6671
1033414313MR. ETHAN A. KELLY MSW
Individual
Social Worker (Clinical)263 MAIN ST
OLD SAYBROOK, CT 06475
(860) 395-6380
1487949731MS. JORDYN R PERLIN
Individual
Counselor (Addiction (Substance Use Disorder))263 MAIN ST 301
OLD SAYBROOK, CT 06475
(860) 338-7350
1740539162COMMUNITY HEALTH CENTER INC.
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))263 MAIN ST 2ND FLOOR
OLD SAYBROOK, CT 06475
(860) 388-4433
1528408754DR. TINNYSHA A CHOPRA DDS
Individual
Dentist (General Practice)263 MAIN ST 2ND FLOOR
OLD SAYBROOK, CT 06475
(860) 388-4433
1194208603CARRIE KOLB, LCSW, LLC
Organization
Social Worker (Clinical)263 MAIN ST
OLD SAYBROOK, CT 06475
(617) 571-7979
1992290167 CAITLYN ELIZABETH GOGGIN LPC
Individual
Counselor (Professional)263 MAIN ST
OLD SAYBROOK, CT 06475
(860) 395-6380
1730217886PLANNED PARENTHOOD OF CT, INC
Organization
Clinic/Center (Family Planning, Non-Surgical)263 MAIN ST
OLD SAYBROOK, CT 06475
(860) 388-1700
1861905226 ERICA KYNE LMSW
Individual
Social Worker (Clinical)263 MAIN ST
OLD SAYBROOK, CT 06475
(860) 395-6380
1194727404 CHRISTINA FANTONI MSN, CNM
Individual
Advanced Practice Midwife263 MAIN ST
OLD SAYBROOK, CT 06475
(860) 388-8445
1649026402ERIN E MURPHY, LLC
Organization
Counselor (Mental Health)263 MAIN ST
OLD SAYBROOK, CT 06475
(203) 243-1802

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255728614, enumerated in the NPI registry as an "organization" on April 22, 2015

The provider is located at 263 Main St Suite 304 Old Saybrook, Ct 06475 and the phone number is (860) 876-7488

This medical organization specializes in Counselor with taxonomy code 101YP2500X with a focus in Professional

This NPI record was last updated on April 22, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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