Tiffany Foster, PHD, LCAS-A

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2868-A Issued in NC

Practice address

25350 US Highway 19 N
#286
Clearwater, FL 33763-2146

Phone

(919) 633-3797

NPI assigned

May 24, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1003176041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25350 US HIGHWAY 19 N",
            "address_2": "#286",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337632146",
            "telephone_number": "919-633-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25350 US HIGHWAY 19 N",
            "address_2": "#286",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337632146",
            "telephone_number": "919-633-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "PHD, LCAS-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2868-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12449225",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maritere Fortier, IDHS
• Daniel Blake Foskey, PHARMD
• Susan J Fosnot, DO
• Maurice Foster, PMHNP-BC
• Megan Foster
• Foundation Physical Therapy
• Foundation Physical Therapy, Inc.
• Foundation Physical Therapy, Inc.
• Colleen Geraldine Fowler
• Hannah Stewart Fowler, PA-C

• Addiction (Substance Use Disorder) Counselor in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.