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CHANGING TIDES COUNSELING, LLC
NPI 1639887672
Clinic/Center - Adolescent and Children Mental Health in Clearwater, FL

Active since November 08, 2022
51 S MAIN AVE STE 304, CLEARWATER, FL 33765(920) 370-7680 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Changing Tides Counseling, Llc NPPES

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

CHANGING TIDES COUNSELING, LLC (NPI 1639887672) is a healthcare organization registered as an adolescent and children mental health in Clearwater, Florida and active in the NPI registry since November 2022. The organization lists Samantha Petroshius-crocker, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1639887672
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameCHANGING TIDES COUNSELING, LLC
Location Address51 S MAIN AVE STE 304Clearwater, FL 33765-3937
Mailing Address51 S Main Ave Ste 304Clearwater, FL 33765-3937 · (920) 370-7680
Phone(920) 370-7680
Organization SubpartNo
Authorized OfficialSamantha Petroshius-crockerOwner/manager · (813) 461-5370
Enumeration DateNovember 8, 2022
NPPES CertifiedNovember 8, 2022
✔ NPI 1639887672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
51 S MAIN AVE STE 304, Clearwater, FL 33765
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Other Identifiers 1

Medicaid21772400FL

Other Providers at the Same Location NPPES 11

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

MS. ROCHELLE MARIE IGNATZ LMHC
Counselor (Mental Health)
51 S MAIN AVE STE 304
CLEARWATER, FL 33765
Pinellas County (727) 328-4672
SUNLIT PATH THERAPY
Clinic/Center
51 S MAIN AVE STE 304
CLEARWATER, FL 33765
Pinellas County (727) 784-8244
LAURA GOODING LCSW
Social Worker (Clinical)
51 S MAIN AVE STE 304
CLEARWATER, FL 33765
Pinellas County (727) 222-3032
ANGELA BROWN BULLA LCSW
Social Worker (Clinical)
51 S MAIN AVE STE 304
CLEARWATER, FL 33765
Pinellas County (727) 784-8244
MRS. LESLEY J NORRIS L.M.H.C.
Counselor (Mental Health)
51 S MAIN AVE STE 304
CLEARWATER, FL 33765
Pinellas County (727) 560-0366
TRISH FRENCH, MSW, CAP, LCSW, INC.
Social Worker (Clinical)
51 S MAIN AVE STE 304
CLEARWATER, FL 33765
Pinellas County (727) 784-8244
SAMANTHA PETROSHIUS-CROCKER LMHC
Counselor (Mental Health)
51 S MAIN AVE STE 304
CLEARWATER, FL 33765
Pinellas County (727) 784-8244
MS. VIANEY S. PELAEZ LCSW
Social Worker (Clinical)
51 S MAIN AVE STE 304
CLEARWATER, FL 33765
Pinellas County (727) 784-8244

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 Changing Tides Counseling, LLC's NPI number?

The NPI number for Changing Tides Counseling, LLC is 1639887672. It was assigned to this organization in the NPPES registry on November 8, 2022.

Where is Changing Tides Counseling, LLC located?

Changing Tides Counseling, LLC is located at 51 S Main Ave Ste 304, Clearwater, FL 33765. The listed phone number is (920) 370-7680.

What is Changing Tides Counseling, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Changing Tides Counseling, LLC was last updated on November 8, 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.