ELEANOR ARLENE TIDBALL LPC-IT
NPI 1629607619
Psychologist - Counseling in New Berlin, WI

Active since April 02, 2020
13320 W GRANGE AVE, NEW BERLIN, WI 53151(414) 467-3780 Get Directions Write a Review

NPPES record last updated: April 2, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Eleanor Arlene Tidball Lpc-it NPPES

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

ELEANOR ARLENE TIDBALL LPC-IT (NPI 1629607619) is an individual counseling provider in New Berlin, Wisconsin, licensed in Wisconsin (4590-226) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1629607619
Entity TypeIndividualFemale
Primary Taxonomy103TC1900X
Provider Legal NameELEANOR ARLENE TIDBALLCredential: LPC-IT
Location Address13320 W GRANGE AVENew Berlin, WI 53151-8131
Mailing Address13320 W Grange AveNew Berlin, WI 53151-8131 · (414) 467-3780
Sole ProprietorYes
Enumeration DateApril 2, 2020
NPPES CertifiedApril 2, 2020
NPI 1629607619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in WI · 4590-226
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
13320 W GRANGE AVE, New Berlin, WI 53151

Other Identifiers 1

Medicaid19943852WI

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 Eleanor Tidball's NPI number?

The NPI number for Eleanor Tidball is 1629607619. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Eleanor Tidball located?

Eleanor Tidball practices at 13320 W Grange Ave, New Berlin, WI 53151. The listed phone number is (414) 467-3780.

What is Eleanor Tidball's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

When was this NPI record last updated?

The NPPES record for Eleanor Tidball was last updated on April 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.