Individual provider Active NPI

Tiffany Chanielle Williams, MS, LPC

  • Counselor
  • Charlotte, NC
National Provider Identifier
1023554482
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
37PC00829000 Issued in NJ
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

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
37AC00347500NJMDCounselor
37PC00829000NJMDCounselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.