NPIMap

Organization Active NPI

Rising Tides Counseling LLC

  • Mental Health Counselor
  • Marblehead, MA
National Provider Identifier
1013605310
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RISING TIDES COUNSELING LLC
Practice address
70 Atlantic Ave Unit 7
Marblehead, MA 01945-3042
Phone
(978) 219-4462
NPI assigned
Apr 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gina Hartley, LMHCNPI 1407020605
Title
Owner/Manager
Phone
(978) 219-4462

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

70 Atlantic Ave Unit 7
Marblehead, MA 01945-3042

Mailing address

70 Atlantic Ave Unit 7
Marblehead, MA 01945-3042
Phone (978) 219-4462

National Provider Directory

National Provider Directory

Locations

70 Atlantic Ave
Unit 7
Marblehead, MA 01945
Phone (978) 219-4462

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1013605310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 ATLANTIC AVE UNIT 7",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019453042",
            "telephone_number": "978-219-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 ATLANTIC AVE UNIT 7",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019453042",
            "telephone_number": "978-219-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING TIDES COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "978-219-4462",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marblehead, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.