Active NPI
Tiffany Chanielle Williams, MS, LPC
- Counselor
- Charlotte, NC
National Provider Identifier
1023554482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 37PC00829000
- Practice address
- 5648 Via Romano Dr Apt E
Charlotte, NC 28270-6952 - Phone
- (908) 772-4200
- Fax
- (908) 516-8525
- NPI assigned
- Jan 10, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 37AC00347500 | NJ | |
| Counselor | 101Y00000X | 37PC00829000 | NJ | Primary |
Addresses
Primary practice location
5648 Via Romano Dr Apt E
Charlotte, NC 28270-6952
Mailing address
PO Box 743
Roselle, NJ 07203-0743
Phone (908) 875-9756
Other practice location 1
500 1/2 E 1st Ave
Roselle, NJ 07203-1463
Phone (908) 875-9756
Other names 1
- Mrs. Tiffany Chanielle Williams-Grier
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.ourheartmatters.com | Other |
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00347500 | NJ | MD | Counselor |
| 37PC00829000 | NJ | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart Matters, LLC | Counselor | Past | Accepting new patients |
| Shine Medical of Ca PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Counselor
- Roselle, NJ
- NPI 1194259762
-
- Psychiatry Physician
- San Jose, CA
- NPI 1942935473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1023554482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743",
"city": "ROSELLE",
"state": "NJ",
"postal_code": "072030743",
"telephone_number": "908-875-9756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5648 VIA ROMANO DR APT E",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282706952",
"telephone_number": "908-772-4200",
"fax_number": "908-516-8525"
}
],
"practiceLocations": [
{
"address_1": "500 1/2 E 1st Ave",
"address_purpose": "LOCATION",
"city": "Roselle",
"state": "NJ",
"postal_code": "072031463",
"country_code": "US",
"telephone_number": "908-875-9756",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TIFFANY",
"middle_name": "CHANIELLE",
"name_prefix": "Mrs.",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-10",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "37AC00347500",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "37PC00829000",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.ourheartmatters.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "website",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "online",
"address_1": "104 Chestnut St Unit 743",
"city": "Roselle",
"state": "NJ",
"country_code": "US",
"postal_code": "072037030",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "WILLIAMS-GRIER",
"middle_name": "CHANIELLE",
"prefix": "MRS.",
"credential": "MS, LPC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.