1. Home
  2. Directory
  3. Texas
  4. Fort Worth
  5. Counselor
  6. NPI Profile

OLIVIA TIDWELL
NPI 1073220257
Counselor - Professional in Fort Worth, TX

Active since October 28, 2022
1617 PARK PLACE AVE STE 110, FORT WORTH, TX 76110(940) 226-1711 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Olivia Tidwell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLIVIA TIDWELL (NPI 1073220257) is an individual professional provider in Fort Worth, Texas, licensed in Texas (89364) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1073220257
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameOLIVIA TIDWELL
Location Address1617 PARK PLACE AVE STE 110Fort Worth, TX 76110-1300
Mailing Address1617 Park Place Ave Ste 110Fort Worth, TX 76110-1300 · (940) 226-1711
Phone(940) 226-1711
Sole ProprietorNo
Enumeration DateOctober 28, 2022
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1073220257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 89364
1617 PARK PLACE AVE STE 110, Fort Worth, TX 76110
Open in Google Maps ↗

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER M. EKLUND LPC
Counselor (Professional)
1617 PARK PLACE AVE STE 110
FORT WORTH, TX 76110
Tarrant County (817) 753-8772
OUTPATIENT PHYSICAL THERAPY
Physical Therapist
1617 PARK PLACE AVE STE 110
FT WORTH, TX 76110
Tarrant County (817) 923-1800
EMPOWER MENTAL HEALTH PLLC
Clinic/Center (Adult Mental Health)
1617 PARK PLACE AVE STE 110
FORT WORTH, TX 76110
Tarrant County (817) 631-5685
REGENERATIVE WELLNESS SOLUTIONS INC
Nurse Practitioner
1617 PARK PLACE AVE STE 110
FORT WORTH, TX 76110
Tarrant County (817) 717-7294
KRISTAL MARIE COOKS LCSW
Social Worker (Clinical)
1617 PARK PLACE AVE STE 110, #1024
FORT WORTH, TX 76110
Tarrant County (210) 235-1181
WELL COUNSELING GROUP
Counselor (Professional)
1617 PARK PLACE AVE STE 110
FORT WORTH, TX 76110
Tarrant County (940) 226-1711
TARRANT COUNTY PHYSICAL THERAPY
Physical Therapist
1617 PARK PLACE AVE STE 110
FT WORTH, TX 76110
Tarrant County (817) 923-1800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olivia Tidwell's NPI number?

The NPI number for Olivia Tidwell is 1073220257. It was assigned to this individual provider in the NPPES registry on October 28, 2022.

Where is Olivia Tidwell located?

Olivia Tidwell practices at 1617 Park Place Ave Ste 110, Fort Worth, TX 76110. The listed phone number is (940) 226-1711.

What is Olivia Tidwell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Olivia Tidwell was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.