Sarah Elise Tidwell, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4023 Issued in AL

Practice address

429 Green Springs Hwy Ste 161-367
Birmingham, AL 35209-4935

Phone

(205) 202-1883

NPI assigned

Jan 24, 2017

Last updated

Sep 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grey Space LLC

  • Mental Health Counselor
  • Irondale, AL
  • NPI 1205613965
  NPD Authorized official

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1407393853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 GREEN SPRINGS HWY STE 161-367",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094935",
            "telephone_number": "205-202-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 GREEN SPRINGS HWY STE 161-367",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094935",
            "telephone_number": "205-202-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDWELL",
        "first_name": "SARAH",
        "middle_name": "ELISE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "4023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Tidwell
• Johnathan Tidwell, CRNP
• Julia Tidwell, PT
• Lauren Paige Tidwell, RN
• Rhonda Sue Tidwell, RN
• Ricky Tiernan
• Brian J Tierney, MD
• Stuart Carl Tieszen, M.D.
• Donald Carlin Tighe Jr., D.O.
• Ken R Tilashalski, D.M.D.

• Mental Health Counselor in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.