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OWEN TIDWELL LICSW
NPI 1730756800
Counselor in Fall River, MA

Active since June 08, 2021PECOS Enrolled
261 MOUNT PLEASANT ST, FALL RIVER, MA 02720(774) 309-1819 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, Nov 9, 2022, Jun 8, 2021 (3 updates tracked since 2021).

About Owen Tidwell Licsw NPPES

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

OWEN TIDWELL LICSW (NPI 1730756800) is an individual counselor in Fall River, Massachusetts, licensed in Massachusetts (124273) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1730756800
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameOWEN TIDWELLCredential: LICSW
Location Address261 MOUNT PLEASANT STFall River, MA 02720-4317
Mailing Address661 Drift RdWestport, MA 02790-1235 · (508) 493-5518
Phone(774) 309-1819
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 8, 2021
Last NPPES UpdateJune 17, 20253 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1730756800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Licenses✔ Licensed in MA · 124273✔ Licensed in MA · 224258
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
261 MOUNT PLEASANT ST, Fall River, MA 02720
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Providence Health Plan.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)

Owen Tidwell Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911397930
PECOS Enrollment IDI20211207001127
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
290 services14 patients

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 Owen Tidwell's NPI number?

The NPI number for Owen Tidwell is 1730756800. It was assigned to this individual provider in the NPPES registry on June 8, 2021.

Where is Owen Tidwell located?

Owen Tidwell practices at 261 Mount Pleasant St, Fall River, MA 02720. The listed phone number is (774) 309-1819.

What is Owen Tidwell's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Owen Tidwell enrolled in Medicare?

Yes. Owen Tidwell is registered in the Medicare PECOS enrollment system.

What insurance does Owen Tidwell accept?

Health plans from Anthem Blue Cross and Blue Shield and Providence Health Plan list Owen Tidwell 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 Owen Tidwell was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.