Tidewater Mental Health Counseling PLLC
NPI 1497556088 · Mental Health Clinic/Center (Including Community Mental Health Center) · Huntington Station, NY
Tidewater Mental Health Counseling PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Huntington Station, NY (NPI 1497556088).
Provider details
- NPI number
- 1497556088
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacquelyn Jackson, Owner(484) 599-1580
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2025-03-20
- Last updated
- 2025-03-20
- Certified
- 2025-03-20
Frequently asked questions
- What is Tidewater Mental Health Counseling PLLC's NPI number?
- Tidewater Mental Health Counseling PLLC's National Provider Identifier (NPI) is 1497556088, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidewater Mental Health Counseling PLLC?
- Tidewater Mental Health Counseling PLLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Tidewater Mental Health Counseling PLLC located?
- Tidewater Mental Health Counseling PLLC's practice location on file with NPPES is 172 W 21st St, Huntington Station, NY 11746-2122.
- What is Tidewater Mental Health Counseling PLLC's phone number?
- The practice phone number listed in the NPPES registry for Tidewater Mental Health Counseling PLLC is (484) 599-1580.
- Who is the authorized official for Tidewater Mental Health Counseling PLLC?
- The authorized official listed on Tidewater Mental Health Counseling PLLC's NPPES record is Jacquelyn Jackson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidewater Mental Health Counseling PLLC's NPI active?
- Yes — Tidewater Mental Health Counseling PLLC's NPI (1497556088) is active in the NPPES registry as of the last update on 2025-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.