WESTERN TIDEWATER COMMUNITY MENTAL
NPI 1689615296
Clinic/Center - Mental Health (Including Community Mental Health Center) in Suffolk, VA
About Western Tidewater Community Mental NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WESTERN TIDEWATER COMMUNITY MENTAL (NPI 1689615296), doing business as Western Tidewater Community Services Board, is a healthcare organization registered as a mental health (including community mental health center) in Suffolk, Virginia and active in the NPI registry since June 2006. The organization maintains 10 additional practice locations and lists Marion Young, Reimbursement Supervisor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 13
Other Names 1
Secondary Practice Locations 10
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Western Tidewater Community Mental is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
75Medicare enrollment records show 75 clinicians reassign Medicare billing to Western Tidewater Community Mental, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 75Source: 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 Western Tidewater Community Mental's NPI number?
The NPI number for Western Tidewater Community Mental is 1689615296. It was assigned to this organization in the NPPES registry on June 8, 2006. The provider is doing business as Western Tidewater Community Services Board.
Where is Western Tidewater Community Mental located?
Western Tidewater Community Mental is located at 7025 Harbour View Blvd Ste 119, Suffolk, VA 23435. The listed phone number is (757) 966-2805.
What is Western Tidewater Community Mental'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 Western Tidewater Community Mental enrolled in Medicare?
Yes. Western Tidewater Community Mental is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Western Tidewater Community Mental?
According to the CMS Revalidation Reassignment List (October 2026 release), 75 clinicians in 5 Medicare specialties reassign their Medicare billing to Western Tidewater Community Mental. 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. The largest specialties are Mental Health Counselor (38), Clinical Social Worker (21) and Nurse Practitioner (10). Of these, 15 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Western Tidewater Community Mental was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Western Tidewater Community Mental · NPI 1689615296
Mental Health (Including Community Mental Health Center) organization in Suffolk, Virginia. Organization record, active in the CMS NPPES registry since June 8, 2006.
## Identity
- **NPI:** 1689615296 (Entity type: Organization)
- **Enumerated:** June 8, 2006
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Also known as:** Western Tidewater Community Services Board (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Marion Young, REIMBURSEMENT SUPERVISOR
## Practice location
- **Address:** 7025 HARBOUR VIEW BLVD STE 119, Suffolk, VA 23435-2762
- **Phone:** (757) 966-2805 · **Fax:** (757) 673-2586
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 75 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (38), Clinical Social Worker (21), Nurse Practitioner (10); 15 practice at this address and 27 within 10 miles; [full list](https://npiprofile.com/npi/1689615296/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2026
- **Other identifiers:** Other 270369 (VA); Medicaid 004945310 (VA); Medicaid 1689615296 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1689615296) · Data from the CMS NPPES public registry.