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LIFE TIDE COUNSELING PC
NPI 1316205354
Marriage & Family Therapist in Swansboro, NC

Active since April 27, 2012
205 WARD RD, SUITE 1, SWANSBORO, NC 28584(910) 326-8881(910) 326-2342 Get Directions Write a Review

NPPES record last updated: April 27, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Life Tide Counseling Pc NPPES

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

LIFE TIDE COUNSELING PC (NPI 1316205354) is a healthcare organization registered as a marriage & family therapist in Swansboro, North Carolina and active in the NPI registry since April 2012. The organization lists Carol A. Shepard, President, as its authorized official.

NPPES Registry Identity

NPI1316205354
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameLIFE TIDE COUNSELING PC
Location Address205 WARD RD, SUITE 1Swansboro, NC 28584-8259
Mailing AddressPo Box 1216Swansboro, NC 28584-1216 · (910) 326-8881 · Fax (910) 326-2342
Phone(910) 326-8881
Fax(910) 326-2342
Organization SubpartNo
Authorized OfficialCarol A. ShepardPresident · (910) 326-8881
Enumeration DateApril 27, 2012
✔ NPI 1316205354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in NC · 755
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
205 WARD RD, Swansboro, NC 28584
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Other Identifiers 1

Medicaid6105190NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Life Tide Counseling Pc 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 Life Tide Counseling PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Carol Shepard, LMFT
Marriage and Family Therapist
NPI 1427163088
714 W CORBETT AVE STE 22
Swansboro, NC 28584
(910) 326-8881
✔ PECOS✔ Accepts Medicare0.2 mi
Jessica Prescott, LCMHC
Mental Health Counselor
NPI 1275821662
5501 FORTUNES RIDGE DR STE P
Durham, NC 27713
(919) 391-7202
✔ PECOS✔ Accepts Medicare132 mi

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 Life Tide Counseling PC's NPI number?

The NPI number for Life Tide Counseling PC is 1316205354. It was assigned to this organization in the NPPES registry on April 27, 2012.

Where is Life Tide Counseling PC located?

Life Tide Counseling PC is located at 205 Ward Rd Suite 1, Swansboro, NC 28584. The listed phone number is (910) 326-8881.

What is Life Tide Counseling PC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Life Tide Counseling PC enrolled in Medicare?

Yes. Life Tide Counseling PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Tide Counseling PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Life Tide Counseling PC, in Marriage and Family Therapist and Mental Health Counselor. 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, 1 practice 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 Life Tide Counseling PC was last updated on April 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.