Changing Tides Counseling, LLC
Changing Tides Counseling, LLC is a healthcare organization registered as Adolescent and Children Mental Health Clinic/Center in Clearwater, FL, holding Type 2 (organization) NPI 1639887672 since 2022. The authorized official on file is Samantha Petroshius-Crocker, Owner/Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1639887672 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Changing Tides Counseling, LLC |
| Practice address | 51 S MAIN AVE STE 304, Clearwater, FL, 33765 |
| Phone | 9203707680 |
| Enumeration date | 2022-11-08 |
| Last updated in NPPES | 2022-11-08 |
Authorized official
| Name | Samantha Petroshius-Crocker |
|---|---|
| Title | Owner/Manager |
| Phone | 8134615370 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM0850X | Adult Mental Health Clinic/Center | Secondary | — | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21772400 | Medicaid | FL | — |
Copy-ready billing details
Provider: Changing Tides Counseling, LLC NPI: 1639887672 Taxonomy: 261QM0855X (Adolescent and Children Mental Health Clinic/Center) Address: 51 S MAIN AVE STE 304, Clearwater, FL, 33765
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1841323482 | Angela Brown Bulla | Individual | Clinical Social Worker | Clearwater, FL |
| 1003025065 | Rochelle Ignatz | Individual | Mental Health Counselor | Clearwater, FL |
| 1205115797 | Lesley Norris | Individual | Mental Health Counselor | Clearwater, FL |
| 1144582024 | Angela Brown Bulla Lcsw | Organization | Clinical Social Worker | Clearwater, FL |
| 1497143473 | Vianey Pelaez | Individual | Clinical Social Worker | Clearwater, FL |
| 1295259265 | Samantha Petroshius-Crocker | Individual | Mental Health Counselor | Clearwater, FL |
| 1063907335 | Laura Gooding | Individual | Clinical Social Worker | Clearwater, FL |
| 1225684954 | Trish French, Msw, Cap, Lcsw, Inc. | Organization | Clinical Social Worker | Clearwater, FL |
Verify this record
Cross-check NPI 1639887672 against the authoritative CMS record: view Changing Tides Counseling, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Changing Tides Counseling, LLC?
Who is the authorized official for Changing Tides Counseling, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-11-08.