Active NPI
Changing Tides Counseling of Biloxi
- Mental Health Counselor
- Biloxi, MS
National Provider Identifier
1508775628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CHANGING TIDES COUNSELING OF BILOXI
- Practice address
- 715 Howard Ave
Biloxi, MS 39530-4305 - Phone
- (601) 522-8902
- NPI assigned
- Sep 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Timmothy Lane Patterson, LPC
- Title
- President/Counselor
- Phone
- (601) 522-8902
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
715 Howard Ave
Biloxi, MS 39530-4305
Mailing address
715 Howard Ave
Biloxi, MS 39530-4305
Phone (601) 522-8902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788393600000",
"number": "1508775628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 HOWARD AVE",
"city": "BILOXI",
"state": "MS",
"postal_code": "395304305",
"telephone_number": "601-522-8902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 HOWARD AVE",
"city": "BILOXI",
"state": "MS",
"postal_code": "395304305",
"telephone_number": "601-522-8902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANGING TIDES COUNSELING OF BILOXI",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A",
"authorized_official_last_name": "PATTERSON",
"authorized_official_first_name": "TIMMOTHY",
"authorized_official_middle_name": "LANE",
"authorized_official_title_or_position": "PRESIDENT/COUNSELOR",
"authorized_official_telephone_number": "601-522-8902",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.