Organization Active NPI

Breath of Grace Wellness

  • Professional Counselor
  • Columbia, KY
National Provider Identifier
1003550575
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
147992766OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221108002488 KY Part B Supplier - Clinic/Group Practice 5799152591 Receives reassigned benefits from 4 practitioners
Practice locations: Columbia, KY

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.