NPI age
13 years
Enumerated 2013-04-24
● Active
Type 1 · Individual
MS. Carol Tidwell, MS. LCPC
Tidwell is 1 of 29 mental health (counselor) providers in Eagle and 1 of 2,058 in Idaho.
Primary specialty
Mental Health (Counselor)
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-06-05
Source: CMS NPPES provider record
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2058 active mental health (counselor) providers in Idaho.
NPI age
13 years
↑ 6 yr above median (7 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2013 → 2023
2013-04Enumerated in NPPES
2013
2023
Where they practice
Practice location
225 S Linder Rd Apt A308
Eagle, ID 836164421
Mailing address
225 S Linder Rd Apt A308
Eagle, ID 836164421
Specialties
-
Counselor PrimaryCMS NPPES uses NUCC taxonomy code 101YM0800X for provider records classified as Mental Health within Counselor. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 1 new mental health (counselor) provider has been added in Eagle in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.