Tidewater Music Therapy

Primary specialty

Music TherapistTaxonomy code 225A00000X

Legal business name

TIDEWATER MUSIC THERAPY

Practice address

4030 George Washington Mem Hwy Ste C
Yorktown, VA 23692-2619

Phone

(757) 255-8866

NPI assigned

Jan 9, 2026

Organization subpart

No

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

Authorized official

Name

Nicole Harney, MT-BCNPI 1174201164

Title

Music Therapist

Phone

(757) 255-8866

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Nicole Harney, MT-BC

  • Music Therapist
  • Yorktown, VA
  • NPI 1174201164
  NPD Authorized official

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

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789171200000",
    "number": "1316804339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 GEORGE WASHINGTON MEM HWY STE C",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 GEORGE WASHINGTON MEM HWY STE C",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922619",
            "telephone_number": "757-255-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWATER MUSIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A",
        "authorized_official_last_name": "HARNEY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MUSIC THERAPIST",
        "authorized_official_telephone_number": "757-255-8866",
        "authorized_official_credential": "MT-BC"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30018454480001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Lexx House LLC.
• The Milieu Therapeutic Services, ,PC
• The Peninsula Metropolitan Young Men'S Christian Association
• Kristin Leigh Thompson, MED, ATC, LAT
• Carrie Marie Thorington, M.A. SLP
• Elena Xiaoyao Tippett
• Samantha Tirado, LPTA
• Jayla Starr Tisdale
• Joseph Charles Titone, M.DIV.
• Suemaya Torres, RDN

• Music Therapist in Yorktown, VA
• Providers in Yorktown, VA by specialty
• Music Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; 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.