Celeste Tidrick, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC007873 Issued in PA

Practice address

589 Hospital Dr Ste E
Warren, PA 16365-4875

Phone

(814) 723-1330

Fax

(814) 723-5744

NPI assigned

Jan 20, 2020

Last updated

Jan 20, 2020By 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 1

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.

• Family Services of Warren County, Inc.

  • Professional Counselor
  • Warren, PA
  • NPI 1295746451
  NPD

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1407486350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "589 HOSPITAL DR STE E",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163654875",
            "telephone_number": "814-723-1330",
            "fax_number": "814-723-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 HOSPITAL DR STE E",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163654875",
            "telephone_number": "814-723-1330",
            "fax_number": "814-723-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDRICK",
        "first_name": "CELESTE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor N. Day, PHD PLLC (Dr. Tay Concierge Clinical Care)
• Renee Nicole Taylor
• Nicole Marie Theuret, PMHNP-BC
• Jennifer Thrift, NP
• Kim Marie Thurston, DR
• Timothy S Stanton MD
• Daniel Alan Toombs, D.C.
• Mason Tootell, M.D.
• Christine Topa, CCCSLP
• Tops Markets LLC

• Professional Counselor in Warren, PA
• Providers in Warren, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.