Tides Of Mind Counseling - Medicare Mental Health Clinic in Waterbury, CT

Tides Of Mind Counseling is a medicare enrolled mental health clinic (Social Worker - Clinical) in Waterbury, Connecticut. The current practice location for Tides Of Mind Counseling is 230 Frost Rd Unit B, Waterbury, Connecticut. For appointments, you can reach them via phone at (203) 819-0789. The mailing address for Tides Of Mind Counseling is 230 Frost Rd Unit B, Waterbury, Connecticut and phone number is (203) 768-4427.

Tides Of Mind Counseling is licensed to practice in Connecticut (license number 008064). The clinic also participates in the medicare program and its NPI number is 1295130581. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (203) 819-0789.

Contact Information

Tides Of Mind Counseling
230 Frost Rd Unit B
Waterbury
CT 06705-2154
(203) 819-0789
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameTides Of Mind Counseling
SpecialitySocial Worker
Location230 Frost Rd Unit B, Waterbury, Connecticut
Authorized Official Name and PositionElliot Richelson (PRESIDENT, SECRETARY, AND TREASURER)
Authorized Official Contact9046054986
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tides Of Mind Counseling
230 Frost Rd Unit B
Waterbury
CT 06705-2154

Ph: (203) 768-4427
Tides Of Mind Counseling
230 Frost Rd Unit B
Waterbury
CT 06705-2154

Ph: (203) 819-0789

NPI Details:

NPI Number1295130581
Provider Enumeration Date10/29/2014
Last Update Date04/04/2023
Certification Date04/04/2023

Medicare PECOS Information:

Medicare PECOS PAC ID1557614856
Medicare Enrollment IDO20181105000405

Medical Identifiers

Medical identifiers for Tides Of Mind Counseling such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295130581NPI-NPPES
008056440MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 008064 (Connecticut)Primary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Tides Of Mind Counseling acts as a billing entity for following providers:
Provider NameRyan Marc Lieberman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1548483654
PECOS PAC ID: 9830107762
Enrollment ID: I20060404000080
Provider NameLynn Mccaffrey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326064338
PECOS PAC ID: 4385720408
Enrollment ID: I20080328000480
Provider NameMahmoud S Okasha
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1083890016
PECOS PAC ID: 5991875890
Enrollment ID: I20080604000371
Provider NameDonna M Tanganelli
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1962614677
PECOS PAC ID: 8527105030
Enrollment ID: I20091102000087
Provider NameMegan Klein
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1437232766
PECOS PAC ID: 5698963171
Enrollment ID: I20101228000527
Provider NameJoyce S Armstrong
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1881832327
PECOS PAC ID: 8022292705
Enrollment ID: I20110404000601
Provider NameTamar T Saunders
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1619271624
PECOS PAC ID: 1153505300
Enrollment ID: I20110412000828
Provider NameLaura Palmese
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1184906448
PECOS PAC ID: 9335392950
Enrollment ID: I20130110000366
Provider NameSandra R Summer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1629370739
PECOS PAC ID: 2466699251
Enrollment ID: I20130515000463
Provider NameJessica M Screen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1609116029
PECOS PAC ID: 2062650856
Enrollment ID: I20130606000567
Provider NameSharif J Okasha
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1518027325
PECOS PAC ID: 1254477342
Enrollment ID: I20150130000405
Provider NameRenee L Lacadie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265818355
PECOS PAC ID: 7618285008
Enrollment ID: I20151005002316
Provider NameCarrie A. Miranda
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1588096440
PECOS PAC ID: 1557664695
Enrollment ID: I20160122000995
Provider NameKathleen Hustek
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184027203
PECOS PAC ID: 9436454436
Enrollment ID: I20160301000555
Provider NameMark Nadolski
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1851607030
PECOS PAC ID: 7113205832
Enrollment ID: I20161101001679
Provider NameHeather M Humphrey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346785086
PECOS PAC ID: 3678856796
Enrollment ID: I20170215000102
Provider NameLaurie G Mazzarella
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1396960274
PECOS PAC ID: 2668719576
Enrollment ID: I20190131001065
Provider NameBarbara Krill
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1316494990
PECOS PAC ID: 7315287372
Enrollment ID: I20190329000356
Provider NameVictoria Schuch
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1720529670
PECOS PAC ID: 0648503326
Enrollment ID: I20190612000856
Provider NameJaclyn Elizabeth Alessio
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1902458359
PECOS PAC ID: 1850622762
Enrollment ID: I20191008000779
Provider NameMichele J Chenevert
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215016332
PECOS PAC ID: 7911332515
Enrollment ID: I20200108001346
Provider NameMargaret Lillian Lionsbeard Sullivan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1306381660
PECOS PAC ID: 9638506710
Enrollment ID: I20200302002036
Provider NameAlexis Marie Larowe
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1801324678
PECOS PAC ID: 2264861152
Enrollment ID: I20200327001075
Provider NameMarian Hogan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1104200781
PECOS PAC ID: 8628384831
Enrollment ID: I20200428000221
Provider NameHairong Wang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154952794
PECOS PAC ID: 7810318664
Enrollment ID: I20200602002468
Provider NameMichelle Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215563168
PECOS PAC ID: 8628494077
Enrollment ID: I20200811003847
Provider NameCarolyn Sowa
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1477630697
PECOS PAC ID: 6507270758
Enrollment ID: I20210128002491
Provider NameMarie Goodine
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023642998
PECOS PAC ID: 1355755240
Enrollment ID: I20210204002679
Provider NameShelly Foster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518418300
PECOS PAC ID: 3072927979
Enrollment ID: I20210204002759
Provider NameDesiree Nicole Emirzian
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1669948428
PECOS PAC ID: 5395151807
Enrollment ID: I20210309000125
Provider NameRachael Elizabeth Burke
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1588937114
PECOS PAC ID: 5799191144
Enrollment ID: I20210309002139
Provider NameMadison Mcnally Dahm
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700407905
PECOS PAC ID: 3779991245
Enrollment ID: I20210421002951
Provider NameRio Elena Comaduran
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1477065043
PECOS PAC ID: 2769881309
Enrollment ID: I20210601002432
Provider NameDana Segall
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1982149480
PECOS PAC ID: 1355742156
Enrollment ID: I20210630003836
Provider NameNicole Damato
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497364756
PECOS PAC ID: 4880090612
Enrollment ID: I20210902001917
Provider NameCarly Gambardella
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1447726120
PECOS PAC ID: 6901202688
Enrollment ID: I20210903000709
Provider NameCathleen Nowak
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1346712031
PECOS PAC ID: 8325446263
Enrollment ID: I20211007001769
Provider NameLauren Scharn
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1144730367
PECOS PAC ID: 4789072661
Enrollment ID: I20211026001655
Provider NameRebecca Rotondo
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1003358326
PECOS PAC ID: 3971996349
Enrollment ID: I20220207001903
Provider NameAlexis Loren Greenwood
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700506680
PECOS PAC ID: 0941685150
Enrollment ID: I20220923000403
Provider NameKristal Alexis Lewis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1295380913
PECOS PAC ID: 3274904560
Enrollment ID: I20230124003231
Provider NameKelly Tarascio
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174112262
PECOS PAC ID: 9234500554
Enrollment ID: I20230125000858
Provider NameCarly Rae Jacques
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1467022830
PECOS PAC ID: 9739551086
Enrollment ID: I20230214001757
Provider NamePaulette Atse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861112013
PECOS PAC ID: 7719350917
Enrollment ID: I20230309002000
Provider NameChristina Kalogeris
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1811542715
PECOS PAC ID: 7517332703
Enrollment ID: I20230330002028
Provider NameKarissa Piedescalzo
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1932556602
PECOS PAC ID: 8628442894
Enrollment ID: I20230407000440
Provider NameAnastasia Zahara Campos
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1033783881
PECOS PAC ID: 2567837073
Enrollment ID: I20230417000194
Provider NameBrittany Muldowney
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1114647922
PECOS PAC ID: 8325403744
Enrollment ID: I20230508000984
Provider NameMichele Granville Watson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1902388234
PECOS PAC ID: 4183083983
Enrollment ID: I20230711001546
Provider NameJoseph John Jacovino
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1710422068
PECOS PAC ID: 8426417262
Enrollment ID: I20230711002762
Provider NameTaurus Lazine Wright
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1063868982
PECOS PAC ID: 8729449194
Enrollment ID: I20230801003391
Provider NameAlyssa Ashly Kondor
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164991451
PECOS PAC ID: 1557723640
Enrollment ID: I20230822002407
Provider NameSarah Elizabeth O'brien
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1245823426
PECOS PAC ID: 0244693331
Enrollment ID: I20230822002648
Provider NameIdalia Centeno-diaz
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1225536519
PECOS PAC ID: 3870978794
Enrollment ID: I20230831004247
Provider NameKerin B Foley
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1154337004
PECOS PAC ID: 4981068095
Enrollment ID: I20230907003281
Provider NameTimothy John Rowe
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1073173035
PECOS PAC ID: 1153775648
Enrollment ID: I20231003000781
Provider NameChelsea N Humphrey
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1548555816
PECOS PAC ID: 3678940582
Enrollment ID: I20240118003297
Provider NameJodi-kae C Joseph
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1851999577
PECOS PAC ID: 3173966033
Enrollment ID: I20240207002255
Provider NameBlake Gilbert Reuter
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1114318789
PECOS PAC ID: 9537502372
Enrollment ID: I20240208000828
Provider NameRicacha Tashana Jimenez
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1407152168
PECOS PAC ID: 2365885126
Enrollment ID: I20240208001563

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.