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MR. STEWART GREGORY TIDWELL MA, LMHC
NPI 1992935142
Counselor - Mental Health in Fort Wayne, IN

Active since July 22, 2009
2525 LAKE AVE, FORT WAYNE, IN 46805(260) 484-4153 Get Directions Write a Review

NPPES record last updated: July 22, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Stewart Gregory Tidwell Ma, Lmhc NPPES

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

MR. STEWART GREGORY TIDWELL MA, LMHC (NPI 1992935142) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (39001806A) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1992935142
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. STEWART GREGORY TIDWELLCredential: MA, LMHC
Location Address2525 LAKE AVEFort Wayne, IN 46805-5407
Mailing Address2525 Lake AveFort Wayne, IN 46805-5407 · (260) 484-4153
Phone(260) 484-4153
Sole ProprietorNo
Enumeration DateJuly 22, 2009
✔ NPI 1992935142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 39001806A
2525 LAKE AVE, Fort Wayne, IN 46805
Open in Google Maps ↗

Other Providers at the Same Location NPPES 18

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

DAVID M GOETZ
Case Manager/Care Coordinator
2525 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 484-4153
CROSSROAD CHILD AND FAMILY SERVICES
Community Based Residential Treatment Facility, Mental Illness
2525 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 484-4153
SARAH NOREEN YORK
Case Manager/Care Coordinator
2525 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 484-4153
JEFF NEWMAN
Case Manager/Care Coordinator
2525 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 715-7995
CROSSROAD - FORT WAYNE CHILDRENS HOME
Clinic/Center (Adolescent and Children Mental Health)
2525 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 484-4153
MARISSA K FRESON MSED, LMFTA
Counselor (Mental Health)
2525 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 484-4153
MRS. BARBARA A SCHULTZ MSW, LCSW
Social Worker (Clinical)
2525 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 484-4153
JACKIE DEAN VANNATTA JR.
Case Manager/Care Coordinator
2525 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 484-4153

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 Stewart Tidwell's NPI number?

The NPI number for Stewart Tidwell is 1992935142. It was assigned to this individual provider in the NPPES registry on July 22, 2009.

Where is Stewart Tidwell located?

Stewart Tidwell practices at 2525 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 484-4153.

What is Stewart Tidwell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Stewart Tidwell was last updated on July 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.