Mark E Tidsworth, M.ED.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3858 Issued in SC

Practice address

1431 N Lake Dr
Lexington, SC 29072-7651

Phone

(803) 808-9623

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifepoint Counseling Center

  • Community/Behavioral Health Agency
  • Lexington, SC
  • NPI 1104061514
  NPD (past) Authorized official

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229990400000",
    "number": "1275695165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 N LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727651",
            "telephone_number": "803-808-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 N LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727651",
            "telephone_number": "803-808-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDSWORTH",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "3858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George R. Thrana, MSW, LMSW
• Three Fountains Chiropractic, Inc.
• Thrive Wellness and Rehab, LLC
• Lindsey Autumn Thurmon, NP
• Tides of Life Home Care, LLC (Senior Helpers of Lexington SC)
• Claire Stevens Tidwell, MS, RDN, LD, CNSC
• Hannah Till, MA. CF-SLP
• Jennifer D Tillmann, PH.D.
• Amber Timmons, FNP
• Benita Reolaine Tobias, PT, CLT

• Professional Counselor in Lexington, SC
• Providers in Lexington, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; 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.