Tidewater Counseling, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TIDEWATER COUNSELING, PLLC

Practice address

1401 Park Ave
New Bern, NC 28560-5502

Phone

(252) 229-9053

Fax

(252) 648-8381

NPI assigned

Oct 31, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Heather Campbell Wheeler, MSW, LCSW, RPT, CTSNPI 1013097898

Title

Owner

Phone

(252) 229-9053

Specialties & licenses 1

Addresses

Practitioners 1

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

• Heather Campbell Wheeler, MSW, LCSW

  • Clinical Social Worker
  • New Bern, NC
  • NPI 1013097898
  NPD (past) Authorized official

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1326324765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5126 CHALK ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572559",
            "telephone_number": "252-229-9053",
            "fax_number": "252-648-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PARK AVE",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285605502",
            "telephone_number": "252-229-9053",
            "fax_number": "252-648-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWATER COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "CAMPBELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-229-9053",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW, RPT, CTS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Thompson
• Rebecca Renee Thompson
• Harrison Carter Thornbro, LCMHC-A
• Thornton Chiropractic Life Center, PA
• Tamula Thwai, LCSW-A LCAS-A
• Timothy G. Carawan DDS, PA
• John Hinnes Tinga, M.D.
• TLC Home Health Care
• TNDR Enterprises, LLC
• Molly Jane Todd, PT

• Clinical Social Worker in New Bern, NC
• Providers in New Bern, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.