Organization Active NPI

Tidal Counseling, PLC

  • Professional Counselor
  • Norfolk, VA
National Provider Identifier
1245970664
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TIDAL COUNSELING, PLC
Practice address
208 E Plume St Ste 327B
Norfolk, VA 23510-1757
Phone
(757) 637-0840
NPI assigned
Apr 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Ruth H BybeeNPI 1003493412
Title
President
Phone
(757) 418-1131

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

208 E Plume St Ste 327B
Norfolk, VA 23510-1757

Mailing address

208 E Plume St Ste 327B
Norfolk, VA 23510-1757
Phone (757) 637-0840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220912003356 VA Part B Supplier - Clinic/Group Practice 7012392053 Receives reassigned benefits from 6 practitioners
Practice locations: Norfolk, VA

National Provider Directory

National Provider Directory

Locations

208 E Plume St
#327B
Norfolk, VA 23510
Phone (757) 637-0840

208 E Plume St
Ste 327B
Norfolk, VA 23510
Phone (757) 472-8530

Practitioners & affiliated clinicians

Practitioners 7

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": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1245970664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E PLUME ST STE 327B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101757",
            "telephone_number": "757-637-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E PLUME ST STE 327B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101757",
            "telephone_number": "757-637-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDAL COUNSELING, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "BYBEE",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-418-1131"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.