Active NPI
Between Tides Behavioral Health LLC
- Mental Health Counselor
- Boston, MA
National Provider Identifier
1104739168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- BETWEEN TIDES BEHAVIORAL HEALTH LLC
- Practice address
- 56 Broad St
Boston, MA 02109-4301 - Phone
- (857) 800-0166
- NPI assigned
- Sep 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kepei Yi
- Title
- Manager
- Phone
- (857) 800-0166
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
56 Broad St
Boston, MA 02109-4301
Mailing address
56 Broad St Ste 67310
Boston, MA 02109-4301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790121600000",
"number": "1104739168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 BROAD ST STE 67310",
"city": "BOSTON",
"state": "MA",
"postal_code": "021094301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 BROAD ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021094301",
"telephone_number": "857-800-0166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETWEEN TIDES BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-23",
"last_updated": "2026-09-23",
"certification_date": "2026-09-22",
"status": "A",
"authorized_official_last_name": "YI",
"authorized_official_first_name": "KEPEI",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "857-800-0166"
},
"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 Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.