Tidal Therapy, LLC
Professional Counselor · Maize, KS
Practice location
5005 N Emerald CtMaize, KS 67101-8717
- Phone
- (316) 308-5426
NPI record
- NPI
- 1073481719
- Entity type
- Organization (Type 2)
- Enumeration date
- October 24, 2025
- Last updated
- July 31, 2026
- Certified
- July 31, 2026
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Professional Counselor Primary | 101YP2500X |
— | — |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
— | — |
Authorized official
- Name
- Kelsey Ball, LCPC
- Title
- Owner
- Phone
- (316) 308-5426
About Tidal Therapy, LLC
Tidal Therapy, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 5005 N Emerald Ct, Maize, KS 67101-8717. The NPI number 1073481719 was assigned on October 24, 2025 and the record was last updated on July 31, 2026.
The authorized official for this organization is Kelsey Ball, LCPC, Owner.
Frequently asked questions
What is the NPI number of Tidal Therapy, LLC?
The NPI number is 1073481719.
What is the phone number of Tidal Therapy, LLC?
The phone number listed for the practice location is (316) 308-5426.
Where is Tidal Therapy, LLC located?
5005 N Emerald Ct, Maize, KS 67101-8717.
What is the taxonomy code for Tidal Therapy, LLC?
The primary taxonomy code is 101YP2500X – Professional Counselor; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Professional Counselor providers in Maize
- Lanice Kay Reiswig, LPC745 W Academy Ave