Individual provider Active NPI

Tiffany Luana Flores, MA, LMFT

  • Marriage & Family Therapist
  • Duncanville, TX
National Provider Identifier
1013435650
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
903 S Main St Ste 107
Duncanville, TX 75137-2347
Phone
(469) 209-9074
NPI assigned
Sep 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

903 S Main St Ste 107
Duncanville, TX 75137-2347

Mailing address

903 S Main St Ste 107
Duncanville, TX 75137-2347
Phone (808) 348-7997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240207001930 TX Practitioner - Marriage and Family Therapist 4082057930 Reassigns benefits to 1 organization
Practice locations: Duncanville, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Emerge Renewed Therapy LLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

903 S Main St
Ste 107
Duncanville, TX 75137
Phone (469) 209-9074

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1013435650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 S MAIN ST STE 107",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751372347",
            "telephone_number": "808-348-7997",
            "fax_number": "808-348-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 S MAIN ST STE 107",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751372347",
            "telephone_number": "469-209-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "TIFFANY",
        "middle_name": "LUANA",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncanville, TX

Sources for this page

Verify at the official NPI Registry.