TIDE BEHAVIORAL HEALTH LLC
NPI 1568397883
Clinic/Center - Mental Health (Including Community Mental Health Center) in Columbia, MD

Active since June 17, 2026
9277 CARTERSVILLE RD, COLUMBIA, MD 21046(262) 271-1143 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 16, 2026, Jul 10, 2026 (2 updates tracked since 2026).

About Tide Behavioral Health Llc NPPES

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

TIDE BEHAVIORAL HEALTH LLC (NPI 1568397883) is a healthcare organization registered as a mental health (including community mental health center) in Columbia, Maryland and active in the NPI registry since June 2026. The organization lists Idi Usman, President, as its authorized official.

NPPES Registry Identity

NPI1568397883
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameTIDE BEHAVIORAL HEALTH LLC
Location Address9277 CARTERSVILLE RDColumbia, MD 21046-1603
Mailing Address9277 Cartersville RdColumbia, MD 21046-1603 · (443) 563-7091
Organization SubpartNo
Authorized OfficialIdi UsmanPresident · (262) 271-1143
Enumeration DateJune 17, 2026
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1568397883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
9277 CARTERSVILLE RD, Columbia, MD 21046

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tide Behavioral Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tide Behavioral Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1366317646
9277 CARTERSVILLE RD
Columbia, MD 21046
(262) 744-0357
✔ PECOSSame 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 Tide Behavioral Health LLC's NPI number?

The NPI number for Tide Behavioral Health LLC is 1568397883. It was assigned to this organization in the NPPES registry on June 17, 2026.

Where is Tide Behavioral Health LLC located?

Tide Behavioral Health LLC is located at 9277 Cartersville Rd, Columbia, MD 21046. The listed phone number is (262) 271-1143.

What is Tide Behavioral Health LLC'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 Tide Behavioral Health LLC enrolled in Medicare?

Yes. Tide Behavioral Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tide Behavioral Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Tide Behavioral Health 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tide Behavioral Health LLC was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.