Active NPI
Tiffanie Ann Pinnix, BA LCDC III
- Addiction (Substance Use Disorder) Counselor
- Centerville, OH
National Provider Identifier
1023522943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCDCIII.162275
- Practice address
- 950 E Alex Bell Rd # 100
Centerville, OH 45459-2721 - Phone
- (937) 291-2300
- NPI assigned
- Nov 30, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCDCIII.162275 | OH | Primary |
Addresses
Primary practice location
950 E Alex Bell Rd # 100
Centerville, OH 45459-2721
Mailing address
950 E Alex Bell Rd # 100
Centerville, OH 45459-2721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCDCIII.162275 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1023522943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 E ALEX BELL RD # 100",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454592721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 E ALEX BELL RD # 100",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454592721",
"telephone_number": "937-291-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINNIX",
"first_name": "TIFFANIE",
"middle_name": "ANN",
"credential": "BA LCDC III",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-30",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LCDCIII.162275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.