Mindful Tides, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MINDFUL TIDES, PLLC

Practice address

2510 S Croatan Hwy Ste 1
Nags Head, NC 27959-9016

Phone

(252) 772-0188

Fax

(252) 772-0188

NPI assigned

Jul 19, 2023

Organization subpart

No

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

Authorized official

Name

Megan Hiner, LCSWNPI 1104469642

Title

Owner and Therpist

Phone

(252) 339-0357

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Megan Hiner

  • Clinical Social Worker
  • Nags Head, NC
  • NPI 1104469642
  NPD Authorized official

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1215617873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 PEACHTREE ST",
            "city": "JARVISBURG",
            "state": "NC",
            "postal_code": "279479505",
            "telephone_number": "252-339-0357",
            "fax_number": "252-772-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 S CROATAN HWY STE 1",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279599016",
            "telephone_number": "252-772-0188",
            "fax_number": "252-772-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL TIDES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "HINER",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER AND THERPIST",
        "authorized_official_telephone_number": "252-339-0357",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Services of America Inc (Medi Home Care)
• Medical Services of the Albemarle (Outer Banks Urgent Care)
• Vern Arthur Metcalf, MD
• Mid-Atlantic Womens Care PLC
• Reasha Lynn Midgett
• Lisa Ferguson Minerich, OTR/L
• Deborah Mobley
• Hanna Zahira Molina Parrilla, M.D.
• Amanda Montaban, PT
• John David Moore II, LCPC

• Adult Mental Health Clinic/Center in Nags Head, NC
• Providers in Nags Head, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

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