Active NPI
Tiffany Marie Bryant, LPC
- Mental Health Counselor
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C9021
- Practice address
- 1033 SW Yamhill St Ste 201
Portland, OR 97205-2538 - Phone
- (971) 990-5762
- NPI assigned
- Jun 1, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C9021 | OR | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | LPC-21496 | AZ |
Addresses
Primary practice location
1033 SW Yamhill St Ste 201
Portland, OR 97205-2538
Mailing address
12317 W Denton Ave
Litchfield Park, AZ 85340-3434
Phone (513) 252-6939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1033 SW Yamhill St
Suite 201
Portland, OR 97205-2538
12317 W Denton Ave
Litchfield Park, AZ 85340-3434
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-21496 | AZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healed Phoenix Counseling and Wellness Center LLC | Mental Health | Current | Accepting new patients |
| Healed Phoenix Counseling and Wellness Center LLC | Mental Health | Current | Accepting new patients |
| Healed Phoenix Behavioral Health LLC | Current | Accepting new patients |
Locations
4225 W Glendale Ave
Ste A201
Phoenix, AZ 85051
Phone (623) 258-1904
1033 SW Yamhill St
Ste 101
Portland, OR 97205
Phone (513) 252-6939
1033 SW Yamhill St
Ste 201
Portland, OR 97205
Phone (513) 252-3206
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Portland, OR
- NPI 1346066495
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1053180521
Mental Health
-
- Mental Health Counselor
- Litchfield Park, AZ
- NPI 1598475881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1043959638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12317 W DENTON AVE",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853403434",
"telephone_number": "513-252-6939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1033 SW YAMHILL ST STE 201",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972052538",
"telephone_number": "971-990-5762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "TIFFANY",
"middle_name": "MARIE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-01",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C9021",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-21496",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.