Active NPI
Jeffrey Tidrick, LPCC
- Mental Health Counselor
- Ridgway, CO
National Provider Identifier
1962376558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPCC.0023768
- Practice address
- 1075 Sherman St Ste 200
Ridgway, CO 81432-7704 - Phone
- (970) 709-7066
- Fax
- (970) 585-7868
- NPI assigned
- Oct 6, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPCC.0023768 | CO | Primary |
Addresses
Primary practice location
1075 Sherman St Ste 200
Ridgway, CO 81432-7704
Mailing address
57807 Kiowa Rd
Montrose, CO 81403-8194
Phone (970) 709-7066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC.0023768 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1962376558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57807 KIOWA RD",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814038194",
"telephone_number": "970-709-7066",
"fax_number": "970-585-7868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 SHERMAN ST STE 200",
"city": "RIDGWAY",
"state": "CO",
"postal_code": "814327704",
"telephone_number": "970-709-7066",
"fax_number": "970-585-7868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIDRICK",
"first_name": "JEFFREY",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-06",
"last_updated": "2025-10-06",
"certification_date": "2025-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPCC.0023768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgway, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.