Tidal Falls Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TIDAL FALLS COUNSELING, LLC

Practice address

108 State Street Ste 5
Bangor, ME 04401-3460

Phone

(207) 745-2828

NPI assigned

Jun 4, 2024

Organization subpart

No

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

Authorized official

Name

Benjamin Bigney, LCSWNPI 1639838667

Title

Owner

Phone

(207) 745-2828

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.

• Benjamin Bigney, LCSW

  • Clinical Social Worker
  • Bangor, ME
  • NPI 1639838667
  NPD (past) Authorized official

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1316788326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 BROADWAY # 238",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 STATE STREET STE 5",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013460",
            "telephone_number": "207-745-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDAL FALLS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "BIGNEY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-745-2828",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karlee Throckmorton, CCC-SLP
• Lori Thurlow
• Duska Joy Thurston, M.D.
• Christopher Tibbetts, LCSW
• Jean Henderson Tibbetts, MD
• Gale C Tinker, PA
• Rudolph N Tiongko, MD
• Brianna Tipping, CADC
• Lenore Marie Tipping, PH.D.
• John Tivnan, D.O.

• Clinical Social Worker in Bangor, ME
• Providers in Bangor, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.