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CHANGING TIDES COUNSELING SERVICE, LLC
NPI 1205469061
Social Worker - Clinical in Foley, AL

Active since February 19, 2020
209 W JESSAMINE AVE, FOLEY, AL 36535(205) 602-7365 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 12, 2023, Feb 19, 2020 (2 updates tracked since 2020).

About Changing Tides Counseling Service, Llc NPPES

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

CHANGING TIDES COUNSELING SERVICE, LLC (NPI 1205469061) is a healthcare organization registered as a clinical in Foley, Alabama and active in the NPI registry since February 2020. The organization lists Jessica Sanders, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1205469061
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCHANGING TIDES COUNSELING SERVICE, LLC
Location Address209 W JESSAMINE AVEFoley, AL 36535-2010
Mailing Address294 Cypress Lake DrGulf Shores, AL 36542-9102
Phone(205) 602-7365
Organization SubpartNo
Authorized OfficialJessica SandersSole Owner · (205) 602-7365
Enumeration DateFebruary 19, 2020
Last NPPES UpdateMay 12, 20232 updates tracked since enumeration
NPPES CertifiedMay 12, 2023
✔ NPI 1205469061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
209 W JESSAMINE AVE, Foley, AL 36535
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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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Changing Tides Counseling Service, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Changing Tides Counseling Service, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jessica Sanders, LCSW, PIP
Clinical Social Worker
NPI 1669734174
209 W JESSAMINE AVE
Foley, AL 36535
(205) 602-7365
✔ PECOS✔ Accepts MedicareSame address
Joshua Williams, MSW, LICSW
Clinical Social Worker
NPI 1043901895
209 W JESSAMINE AVE
Foley, AL 36535
(205) 602-7365
✔ PECOS✔ Accepts MedicareSame address

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 Changing Tides Counseling Service, LLC's NPI number?

The NPI number for Changing Tides Counseling Service, LLC is 1205469061. It was assigned to this organization in the NPPES registry on February 19, 2020.

Where is Changing Tides Counseling Service, LLC located?

Changing Tides Counseling Service, LLC is located at 209 W Jessamine Ave, Foley, AL 36535. The listed phone number is (205) 602-7365.

What is Changing Tides Counseling Service, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Changing Tides Counseling Service, LLC enrolled in Medicare?

Yes. Changing Tides Counseling Service, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Changing Tides Counseling Service, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Changing Tides Counseling Service, LLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Changing Tides Counseling Service, LLC was last updated on May 12, 2023. 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.