NPIMap

Organization Active NPI

Salt and Tides Counseling, LLC

  • Rehabilitation Counselor
  • Plymouth, MA
National Provider Identifier
1417722463
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation CounselorTaxonomy code 225C00000X
Legal business name
SALT AND TIDES COUNSELING, LLC
Practice address
16 Brown Bear Cir
Plymouth, MA 02360-7115
Phone
(781) 733-5685
NPI assigned
Nov 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Hillary Ezrin, LRC, CRCNPI 1124891866
Title
Owner and Practitioner
Phone
(781) 733-5685

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 225C00000X Primary

Addresses

Primary practice location

16 Brown Bear Cir
Plymouth, MA 02360-7115

Mailing address

16 Brown Bear Cir
Plymouth, MA 02360-7115
Phone (781) 733-5685

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1417722463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BROWN BEAR CIR",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607115",
            "telephone_number": "781-733-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 BROWN BEAR CIR",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607115",
            "telephone_number": "781-733-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT AND TIDES COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "EZRIN",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_title_or_position": "OWNER AND PRACTITIONER",
        "authorized_official_telephone_number": "781-733-5685",
        "authorized_official_credential": "LRC, CRC"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

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