Rising Tide Mental Health Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RISING TIDE MENTAL HEALTH COUNSELING

Practice address

4112 5TH Ave Apt 4
Brooklyn, NY 11232-1058

Phone

(917) 767-5322

NPI assigned

Jul 21, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Jason Alicea, LMHCNPI 1215536354

Title

Owner

Phone

(917) 767-5322

Specialties & licenses 1

Addresses

Other names 1

• Rising Tide Mental Health Counseling Former legal business name

Practitioners 1

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

• Jason Alicea

  • Mental Health Counselor
  • New York, NY
  • NPI 1215536354
  NPD Authorized official

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285369389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 5TH AVE APT 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112321058",
            "telephone_number": "917-767-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 5TH AVE APT 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112321058",
            "telephone_number": "917-767-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING TIDE MENTAL HEALTH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ALICEA",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-767-5322",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rising Tide Mental Health Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.