Tidemark Therapy PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TIDEMARK THERAPY PLLC

Practice address

305 W Woodard St Ste 201
Denison, TX 75020-3136

Phone

(903) 265-8545

Fax

(903) 487-0600

NPI assigned

Nov 5, 2014

Organization subpart

No

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

Authorized official

Name

Brittainy A Wagner, LPCNPI 1023429750

Title

Owner Provider

Phone

(903) 267-4023

Specialties & licenses 8

Addresses

Other names 1

• Brittainy A. Wagner, LPC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 23

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

• Courtney Brewer

  • Professional Counselor
  • Denison, TX
  • NPI 1851886899
  Medicare reassignment Care Compare group NPD
• Carla Sue McGehee, LPC

  • Professional Counselor
  • Sherman, TX
  • NPI 1033572045
  Medicare reassignment Care Compare group NPD
• Sarah Rutherford, LPC

  • Professional Counselor
  • Denison, TX
  • NPI 1083586705
  Medicare reassignment Care Compare group NPD
• Brittainy A Wagner, LPC

  • Professional Counselor
  • Denison, TX
  • NPI 1023429750
  Medicare reassignment NPD Authorized official
• Deborah Frempong, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lovington, NM
  • NPI 1811423981

  TX

  Medicare reassignment Care Compare group NPD
• Jannet Deveny, MS, LPC

  • Professional Counselor
  • Rowlett, TX
  • NPI 1265077648
  Medicare reassignment NPD
• Erin Haytaian, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Argyle, TX
  • NPI 1801149968
  Medicare reassignment NPD
• Amanda Johnson

  • Mental Health Counselor
  • Sherman, TX
  • NPI 1174058283
  Medicare reassignment NPD
• Vikram Mehra, M.D.

  • Psychiatry Physician
  • Katy, TX
  • NPI 1801848957
  Medicare reassignment NPD
• Brynna Miller, MS, LPC, NCC

  • Mental Health Counselor
  • League City, TX
  • NPI 1700775681
  Medicare reassignment NPD
• Cecilia Flores Ramos, L.P.C.

  • Professional Counselor
  • Port Isabel, TX
  • NPI 1457660995
  Medicare reassignment NPD
• Amanda S Thiele, LPC

  • Mental Health Counselor
  • Sherman, TX
  • NPI 1962251322

  Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1275939001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W WOODARD ST STE 201",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750203276",
            "telephone_number": "903-265-8545",
            "fax_number": "903-487-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W WOODARD ST STE 201",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750203136",
            "telephone_number": "903-265-8545",
            "fax_number": "903-487-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 W Woodard St Ste 213",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "TX",
            "postal_code": "750203136",
            "country_code": "US",
            "telephone_number": "903-265-8545",
            "fax_number": "903-487-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2318 Firewheel Parkway Suite 2000",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "75040",
            "country_code": "US",
            "telephone_number": "903-265-8545",
            "fax_number": "903-487-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10777 Westheimer Rd Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770423462",
            "country_code": "US",
            "telephone_number": "903-265-8545",
            "fax_number": "903-487-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 Oak Lawn Ave Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752194308",
            "country_code": "US",
            "telephone_number": "903-265-8545",
            "fax_number": "903-487-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3256 Southern Dr Ste 461",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750431533",
            "country_code": "US",
            "telephone_number": "903-265-8545",
            "fax_number": "903-487-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "618 Clara Barton Blvd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750425731",
            "country_code": "US",
            "telephone_number": "903-265-8545",
            "fax_number": "903-487-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 W Woodard St Ste 209",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "TX",
            "postal_code": "750203136",
            "country_code": "US",
            "telephone_number": "903-265-8545",
            "fax_number": "903-487-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TIDEMARK THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "BRITTAINY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "903-267-4023",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brittainy A. Wagner, LPC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brittainy A. Wagner, LPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary Donald Thomas, RDMS, RT(R)
• Karen Barnett Thompson, D.D.S.
• Kevin Lee Thompson, MD
• Stacey L Thornton, M.D.
• Don Thorpe III, DC
• TLC Exceptional Services, Inc.
• TLC Professional Care LLC
• Athena Todd, PA-C
• George Tompkins III, PA-C
• Luis D Torres, M. D.

• Clinic/Center in Denison, TX
• Providers in Denison, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.