Active NPI
Tideland Mental Health Center
- Marriage & Family Therapist
- Washington, NC
National Provider Identifier
1801806500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- TIDELAND MENTAL HEALTH CENTER
- Practice address
- 1308 Highland Dr
Washington, NC 27889-3424 - Phone
- (252) 946-8061
- Fax
- (252) 946-8078
- NPI assigned
- Aug 8, 2006
- 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
- Ms. Barbara R Moore
- Title
- Area Director
- Phone
- (252) 946-8061
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
1308 Highland Dr
Washington, NC 27889-3424
Mailing address
1308 Highland Dr
Washington, NC 27889-3424
Phone (252) 946-8061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6005470 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1801806500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 HIGHLAND DR",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278893424",
"telephone_number": "252-946-8061",
"fax_number": "252-946-8078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 HIGHLAND DR",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278893424",
"telephone_number": "252-946-8061",
"fax_number": "252-946-8078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIDELAND MENTAL HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-08",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "AREA DIRECTOR",
"authorized_official_telephone_number": "252-946-8061",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6005470",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.