Amy Marie Tardy, PHD, LCPC, CCS, LADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

XL5067 Issued in ME

Practice address

229B Main St
Waterville, ME 04901-6119

Phone

(207) 578-2244

NPI assigned

Sep 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Amy Marie Cherkassky Former name

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Water'S Edge Therapy Services, LLC

  • Professional Counselor
  • Waterville, ME
  • NPI 1346015088
  Medicare reassignment NPD Authorized official
• Waters Edge Therapy, Inc

  • Community/Behavioral Health Agency
  • Waterville, ME
  • NPI 1053761270
  Medicare reassignment NPD

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1780233445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1626",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049031626",
            "telephone_number": "207-616-0499",
            "fax_number": "207-616-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229B MAIN ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016119",
            "telephone_number": "207-578-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARDY",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PHD, LCPC, CCS, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "XL5067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "CHERKASSKY",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laurie Ann Swift, RN
• Sarrah Swoveland
• Jamie Lynn Sylvain, LCSW, LADC, MHRT-C
• Amy Marlene Tague, LCSW
• Delilah Sunshine Talon
• Shirley Tarr, RNC
• Billie Taylor, LCSW
• Colleen Taylor, FPNP
• Janine Dawson Taylor, MD
• Melissa D Taylor, D.O.

• Professional Counselor in Waterville, ME
• Providers in Waterville, ME by specialty
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.