Organization Active NPI

Turning Tides Psychological Services, LLC

  • Counseling Psychologist
  • Dickson City, PA
National Provider Identifier
1427698521
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
TURNING TIDES PSYCHOLOGICAL SERVICES, LLC
Doing business as
Turning Tides Psychological Services, LLC
Practice address
650 Boulevard Ave
Dickson City, PA 18519-1710
Phone
(570) 209-9898
NPI assigned
Jan 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Dr. Caroline Johanson, PH.D.
Title
Owner/ Psychologist
Phone
(570) 209-9898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

650 Boulevard Ave
Dickson City, PA 18519-1710

Mailing address

650 Boulevard Ave
Dickson City, PA 18519-1710
Phone (570) 209-9898

Other identifiers 1

IdentifierTypeStateIssuer
1578939005OtherPANPI

Other names 1

  • Turning Tides Psychological Services, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230621002789 PA Part B Supplier - Clinic/Group Practice 8426423005 Receives reassigned benefits from 4 practitioners
Practice locations: Dickson City, PA

National Provider Directory

National Provider Directory

Locations

3218 Pittston Ave
Ste 8
Scranton, PA 18505
Phone (570) 209-9898

3218 Pittston Ave
#8
Scranton, PA 18505

650 Boulevard Ave
Scranton, PA 18519
Phone (570) 209-9898

Practitioners & affiliated clinicians

Practitioners 5

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": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1427698521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 BOULEVARD AVE",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191710",
            "telephone_number": "570-209-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 BOULEVARD AVE",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191710",
            "telephone_number": "570-209-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURNING TIDES PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "JOHANSON",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "OWNER/ PSYCHOLOGIST",
        "authorized_official_telephone_number": "570-209-9898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578939005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Turning Tides Psychological Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Turning Tides Psychological Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dickson City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.