What is Elysia Tidey's NPI number?

Elysia Tidey's National Provider Identifier (NPI) is 1104541242, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Elysia Tidey's specialty?

Elysia Tidey is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).

Where is Elysia Tidey located?

Elysia Tidey's practice location on file with NPPES is 611 Lincoln Way E, South Bend, IN 46601-3212.

What is Elysia Tidey's phone number?

The practice phone number listed in the NPPES registry for Elysia Tidey is (574) 360-4066.

Is Elysia Tidey's NPI active?

Yes — Elysia Tidey's NPI (1104541242) is active in the NPPES registry as of the last update on 2022-10-11.

IndividualActive

Elysia Tidey

NPI 1104541242 · Counselor · South Bend, IN

Elysia Tidey is a Counselor provider in South Bend, IN (NPI 1104541242).

Provider details

NPI number: 1104541242
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

CounselorPrimary101Y00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

611 Lincoln Way E

South Bend, IN 46601-3212

Phone: (574) 360-4066

Fax: (866) 843-2486

Street-level locationGet directions

Mailing address