Active NPI
Breath of Grace Wellness
- Professional Counselor
- Columbia, KY
National Provider Identifier
1003550575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- BREATH OF GRACE WELLNESS
- Practice address
- 404 Public SQ
Columbia, KY 42728-1458 - Phone
- (270) 634-9346
- NPI assigned
- Apr 21, 2022
- Last updated
- Jan 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany N Priddy, LPCC
- Title
- Owner
- Phone
- (270) 634-9346
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
404 Public SQ
Columbia, KY 42728-1458
Mailing address
404 Public SQ
Breath of Grace Wellness PO Box 1061
Columbia, KY 42728-1458
Phone (270) 634-9346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147992766 | Other | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Columbia, KY
- NPI 1477992766
-
- Professional Counselor
- Columbia, KY
- NPI 1265156285
-
- Clinical Social Worker
- Shepherdsville, KY
- NPI 1356965024
-
- Mental Health Counselor
- Columbia, KY
- NPI 1528478070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767916800000",
"number": "1003550575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 PUBLIC SQ",
"address_2": "BREATH OF GRACE WELLNESS PO BOX 1061",
"city": "COLUMBIA",
"state": "KY",
"postal_code": "427281458",
"telephone_number": "270-634-9346",
"fax_number": "270-751-0020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 PUBLIC SQ",
"city": "COLUMBIA",
"state": "KY",
"postal_code": "427281458",
"telephone_number": "270-634-9346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREATH OF GRACE WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-21",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A",
"authorized_official_last_name": "PRIDDY",
"authorized_official_first_name": "TIFFANY",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-634-9346",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "147992766",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.