Magnolia Tides Counseling and Consulting

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MAGNOLIA TIDES COUNSELING AND CONSULTING

Practice address

2124 Government St
Ocean Springs, MS 39564-3937

Phone

(601) 436-9514

NPI assigned

Jul 23, 2025

Last updated

Sep 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eve G Self, LPC-SNPI 1487337317

Title

Owner, Therapist

Phone

(601) 436-9514

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eve Gillan Self, MS, LPC

  • Mental Health Counselor
  • Ocean Springs, MS
  • NPI 1487337317
  Authorized official Same address or phone

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1447132287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5390 OVERLAND DR",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395328590",
            "telephone_number": "601-436-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 GOVERNMENT ST",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643937",
            "telephone_number": "601-436-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA TIDES COUNSELING AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "SELF",
        "authorized_official_first_name": "EVE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "601-436-9514",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1487337317",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "2748",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Curtis Maddox, D.O.
• Magnolia Counseling Center & Services, LLC
• Magnolia Imaging LLC
• Magnolia Medical Center
• Magnolia Psychiatric PA
• Maitri Mental Health
• Rhyannen A Majo Smith
• Erum Zafar Malik, MD
• Denise M Martin, SLP
• James Burke Martin, M.D.

• Mental Health Counselor in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.