JENISE ELAINE TIDD LICDC-CS
NPI 1447765821
Counselor - Addiction (Substance Use Disorder) in Dayton, OH
About Jenise Elaine Tidd Licdc-cs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENISE ELAINE TIDD LICDC-CS (NPI 1447765821) is an individual addiction (substance use disorder) provider in Dayton, Ohio, licensed in Ohio (LICDC.161533) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jenise Elaine Tidd Licdc-cs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jenise Tidd's NPI number?
The NPI number for Jenise Tidd is 1447765821. It was assigned to this individual provider in the NPPES registry on December 7, 2017.
Where is Jenise Tidd located?
Jenise Tidd practices at 865 S Patterson Blvd, Dayton, OH 45402. The listed phone number is (937) 966-4673.
What is Jenise Tidd's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Jenise Tidd enrolled in Medicare?
Yes. Jenise Tidd is registered in the Medicare PECOS enrollment system.
What insurance does Jenise Tidd accept?
Health plans from CareSource, MedMutual, Molina Healthcare, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Jenise Tidd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jenise Tidd was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jenise Elaine Tidd, LICDC-CS · NPI 1447765821
Addiction (Substance Use Disorder) provider in Dayton, Ohio. Individual provider, active in the CMS NPPES registry since December 7, 2017.
## Identity
- **NPI:** 1447765821 (Entity type: Individual)
- **Enumerated:** December 7, 2017
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** LICDC.161533 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 865 S PATTERSON BLVD, Dayton, OH 45402-2624
- **Phone:** (937) 966-4673
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** February 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1447765821) · Data from the CMS NPPES public registry.