Organization Active NPI

Tides Counseling & Wellness, LLC

  • Mental Health Counselor
  • Beverly, MA
National Provider Identifier
1063350189
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TIDES COUNSELING & WELLNESS, LLC
Practice address
145 Cabot St Ste 4
Beverly, MA 01915-5109
Phone
(978) 222-9870
NPI assigned
Mar 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Rebecca Mores, LICSWNPI 1407391642
Title
Founder/Psychotherapist
Phone
(508) 333-7818

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X

Addresses

Primary practice location

145 Cabot St Ste 4
Beverly, MA 01915-5109

Mailing address

145 Cabot St Ste 4
Beverly, MA 01915-5109
Phone (978) 222-9870

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://www.simplepractice.com/ Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

145 Cabot St
Ste 4
Beverly, MA 01915
Phone 7817183787 ext. 83787

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": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1063350189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 CABOT ST STE 4",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155109",
            "telephone_number": "978-222-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 CABOT ST STE 4",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155109",
            "telephone_number": "978-222-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDES COUNSELING & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-22",
        "status": "A",
        "authorized_official_last_name": "MORES",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "FOUNDER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "508-333-7818",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www.simplepractice.com/",
            "affiliation": "N",
            "endpointDescription": "Telehealth platform",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "145 Cabot St Ste 4",
            "city": "Beverly",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019155109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.