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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TIDAL THERAPY, LLC
NPI 1073481719
Counselor - Professional in Maize, KS

Active since October 24, 2025
5005 N EMERALD CT, MAIZE, KS 67101(316) 308-5426 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tidal Therapy, Llc NPPES

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

TIDAL THERAPY, LLC (NPI 1073481719) is a healthcare organization registered as a professional in Maize, Kansas and active in the NPI registry since October 2025. The organization lists Kelsey Ball, Owner, as its authorized official.

NPPES Registry Identity

NPI1073481719
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameTIDAL THERAPY, LLC
Location Address5005 N EMERALD CTMaize, KS 67101-8717
Mailing Address5005 N Emerald CtMaize, KS 67101-8717
Phone(316) 308-5426
Organization SubpartNo
Authorized OfficialKelsey BallOwner · (316) 308-5426
Enumeration DateOctober 24, 2025
Last NPPES UpdateJuly 31, 2026
NPPES CertifiedJuly 31, 2026
✔ NPI 1073481719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
5005 N EMERALD CT, Maize, KS 67101
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Tidal Therapy, LLC's NPI number?

The NPI number for Tidal Therapy, LLC is 1073481719. It was assigned to this organization in the NPPES registry on October 24, 2025.

Where is Tidal Therapy, LLC located?

Tidal Therapy, LLC is located at 5005 N Emerald Ct, Maize, KS 67101. The listed phone number is (316) 308-5426.

What is Tidal Therapy, LLC'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 Tidal Therapy, LLC was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.