CHANGING TIDES COUNSELING & BEHAVIORAL HEALTH, LLC
NPI 1841859931
Clinic/Center - Mental Health (Including Community Mental Health Center) in Oxon Hill, MD
About Changing Tides Counseling & Behavioral Health, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHANGING TIDES COUNSELING & BEHAVIORAL HEALTH, LLC (NPI 1841859931) is a healthcare organization registered as a mental health (including community mental health center) in Oxon Hill, Maryland and active in the NPI registry since June 2019. The organization lists Kelly Jackson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Changing Tides Counseling & 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 Changing Tides Counseling & Behavioral Health, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
National Harbor, MD 20745
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 Changing Tides Counseling & Behavioral Health, LLC's NPI number?
The NPI number for Changing Tides Counseling & Behavioral Health, LLC is 1841859931. It was assigned to this organization in the NPPES registry on June 11, 2019.
Where is Changing Tides Counseling & Behavioral Health, LLC located?
Changing Tides Counseling & Behavioral Health, LLC is located at 137 National Plz Ste 300, Oxon Hill, MD 20745. The listed phone number is (240) 273-3117.
What is Changing Tides Counseling & 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 Changing Tides Counseling & Behavioral Health, LLC enrolled in Medicare?
Yes. Changing Tides Counseling & Behavioral Health, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Changing Tides Counseling & Behavioral Health, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Changing Tides Counseling & 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 Changing Tides Counseling & Behavioral Health, LLC was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Changing Tides Counseling & Behavioral Health, Llc · NPI 1841859931
Mental Health (Including Community Mental Health Center) organization in Oxon Hill, Maryland. Organization record, active in the CMS NPPES registry since June 11, 2019.
## Identity
- **NPI:** 1841859931 (Entity type: Organization)
- **Enumerated:** June 11, 2019
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Kelly Jackson, CEO
## Practice location
- **Address:** 137 NATIONAL PLZ STE 300, Oxon Hill, MD 20745-1153
- **Phone:** (240) 273-3117
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1841859931) · Data from the CMS NPPES public registry.