TIDEMARK INTERVENTION SERVICES
NPI 1174235691
Clinic/Center - Mental Health (Including Community Mental Health Center) in Baltimore, MD
About Tidemark Intervention Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIDEMARK INTERVENTION SERVICES (NPI 1174235691) is a healthcare organization registered as a mental health (including community mental health center) in Baltimore, Maryland and active in the NPI registry since December 2022. The organization lists Ryne Laxton, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tidemark Intervention Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Tidemark Intervention Services, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Tidemark Intervention Services's NPI number?
The NPI number for Tidemark Intervention Services is 1174235691. It was assigned to this organization in the NPPES registry on December 15, 2022.
Where is Tidemark Intervention Services located?
Tidemark Intervention Services is located at 7822 Eastern Ave, Baltimore, MD 21224. The listed phone number is (443) 596-8178.
What is Tidemark Intervention Services's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Tidemark Intervention Services enrolled in Medicare?
Yes. Tidemark Intervention Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tidemark Intervention Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Tidemark Intervention Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7), Clinical Social Worker (5) and Mental Health Counselor (1). Of these, 4 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Tidemark Intervention Services was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Tidemark Intervention Services · NPI 1174235691
Mental Health (Including Community Mental Health Center) organization in Baltimore, Maryland. Organization record, active in the CMS NPPES registry since December 15, 2022.
## Identity
- **NPI:** 1174235691 (Entity type: Organization)
- **Enumerated:** December 15, 2022
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Ryne Laxton, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 7822 EASTERN AVE, Baltimore, MD 21224-2115
- **Phone:** (443) 596-8178
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Clinical Social Worker (5), Mental Health Counselor (1); 4 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1174235691) · Data from the CMS NPPES public registry.