Ebb Tide Counseling PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EBB TIDE COUNSELING PLLC

Doing business as

Ebb Tide Counseling

Practice address

132 Chases Grove Rd
Derry, NH 03038-5835

Phone

(603) 918-3450

NPI assigned

Feb 10, 2023

Last updated

Feb 10, 2023By 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

Michelle Zoeller, LCMHCNPI 1891913315

Title

Counselor

Phone

(603) 918-3450

Specialties & licenses 1

Addresses

Other names 1

• Ebb Tide Counseling Doing business as

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.

• Michelle J. Zoeller, M.S.

  • Clinical Social Worker
  • Lawrence, MA
  • NPI 1891913315
  NPD Authorized official

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1679270599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 CHASES GROVE RD",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030385835",
            "telephone_number": "603-918-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 CHASES GROVE RD",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030385835",
            "telephone_number": "603-918-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBB TIDE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "ZOELLER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "603-918-3450",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ebb Tide Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Dunn, PA-C
• Cheryl Durand, PHARMD
• Hannah Durgin
• David Duval, D.O.
• Carol Early
• Julienne Nicole Echavarri, MD
• Douglas M Eddy, MD
• John W Edelblute
• Cristi Egenolf, M.D.
• Caren Eliezer, D.O.

• Community/Behavioral Health Agency in Derry, NH
• Providers in Derry, NH by specialty
• Community/Behavioral Health Agency in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.