Active NPI
Rising Tide Counseling PLLC
- Professional Counselor
- Woodbridge, VA
National Provider Identifier
1821806738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- RISING TIDE COUNSELING PLLC
- Practice address
- 1385 Eisenhower Cir Apt 401
Woodbridge, VA 22191-5229 - Phone
- (703) 899-2434
- NPI assigned
- Dec 23, 2024
- 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
- Caise Shea Castle, MA, LPC, NCC
- Title
- Licensed Professional Counselor
- Phone
- (703) 899-2434
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1385 Eisenhower Cir Apt 401
Woodbridge, VA 22191-5229
Mailing address
1385 Eisenhower Cir Apt 401
Woodbridge, VA 22191-5229
Phone (703) 899-2434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699056259 | Other | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734912000000",
"number": "1821806738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1385 EISENHOWER CIR APT 401",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221915229",
"telephone_number": "703-899-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1385 EISENHOWER CIR APT 401",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221915229",
"telephone_number": "703-899-2434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RISING TIDE COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-23",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A",
"authorized_official_last_name": "CASTLE",
"authorized_official_first_name": "CAISE",
"authorized_official_middle_name": "SHEA",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "703-899-2434",
"authorized_official_credential": "MA, LPC, NCC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1699056259",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.