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TIDEMARK INTERVENTION SERVICES
NPI 1437818770
Counselor in Baltimore, MD

Active since December 14, 2021
7822 EASTERN AVE, BALTIMORE, MD 21224(443) 596-8178 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2022, Dec 14, 2021 (2 updates tracked since 2021).

About Tidemark Intervention Services NPPES

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

TIDEMARK INTERVENTION SERVICES (NPI 1437818770) is a healthcare organization registered as a counselor in Baltimore, Maryland and active in the NPI registry since December 2021. The organization lists Ryne Laxton, Owner/ Executive Director, as its authorized official.

NPPES Registry Identity

NPI1437818770
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameTIDEMARK INTERVENTION SERVICES
Location Address7822 EASTERN AVEBaltimore, MD 21224-2115
Mailing Address7822 Eastern AveBaltimore, MD 21224-2115 · (443) 596-8178
Phone(443) 596-8178
Organization SubpartNo
Authorized OfficialRyne LaxtonOwner/ Executive Director · (410) 417-7385
Enumeration DateDecember 14, 2021
Last NPPES UpdateAugust 16, 20222 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
✔ NPI 1437818770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
7822 EASTERN AVE, Baltimore, MD 21224
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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

Other Providers at the Same Location NPPES 12

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

JOHANNA NICOLE ENGLAND LMSW
Social Worker
7822 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (800) 847-6028
AMANDA MULLINS CRNP-PMH
Nurse Practitioner (Psychiatric/Mental Health)
7822 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (800) 847-6028
TIDEMARK INTERVENTION SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
7822 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (443) 596-8178
AMANDA MORALES LCSW-C
Social Worker (Clinical)
7822 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (443) 808-1686
MATTHEW AMEDEE DEAN CRNP-PMH
Nurse Practitioner (Psychiatric/Mental Health)
7822 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (800) 847-6028
CARLI RUFFNER CRNP-PMH
Nurse Practitioner (Psychiatric/Mental Health)
7822 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (800) 847-6028
KATELYN MARIE ALEXANDER CRNP-PMH
Nurse Practitioner (Psychiatric/Mental Health)
7822 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (800) 847-6028
TIDEMARK INTERVENTION SERVICES
Social Worker (Clinical)
7822 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (443) 596-8178

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 1437818770. It was assigned to this organization in the NPPES registry on December 14, 2021.

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 Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Tidemark Intervention Services was last updated on August 16, 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.