Individual provider Active NPI

Tiffany Ann Duckworth-Matthews, M.ED

  • Professional Counselor
  • Gretna, LA
National Provider Identifier
1043479041
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2809 Issued in LA
Practice address
401 Whitney Ave Ste 306
Gretna, LA 70056-2502
Phone
(504) 722-8267
Fax
(504) 345-2035
NPI assigned
Jun 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2809 LA Primary

Addresses

Primary practice location

401 Whitney Ave Ste 306
Gretna, LA 70056-2502

Mailing address

401 Whitney Avenue
Suite 306
Gretna, LA 70056
Phone (504) 722-8267

Other practice location 1

405 Gretna Blvd
Suite 100
Gretna, LA 70053-4900
Phone (504) 722-8267

Other practice location 2

401 Whitney Avenue
Suite 306
Harvey, LA 70058
Phone (504) 722-8267

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 Education

State licenses

LicenseStateTypeSpecialty
2809LAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043479041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WHITNEY AVENUE",
            "address_2": "SUITE 306",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "70056",
            "telephone_number": "504-722-8267",
            "fax_number": "504-345-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WHITNEY AVE STE 306",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700562502",
            "telephone_number": "504-722-8267",
            "fax_number": "504-345-2035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Gretna Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Gretna",
            "state": "LA",
            "postal_code": "700534900",
            "country_code": "US",
            "telephone_number": "504-722-8267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Whitney Avenue",
            "address_2": "Suite 306",
            "address_purpose": "LOCATION",
            "city": "Harvey",
            "state": "LA",
            "postal_code": "70058",
            "country_code": "US",
            "telephone_number": "504-722-8267",
            "fax_number": "504-345-2035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUCKWORTH-MATTHEWS",
        "first_name": "TIFFANY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.