Individual provider Active NPI

Tiffany D Hall, LPC

  • Professional Counselor
  • Lee's Summit, MO
National Provider Identifier
1063163665
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2025027068 Issued in MO
Practice address
1321 SE Princeton PL
Lees Summit, MO 64081-2751
Phone
(816) 522-1820
Fax
(816) 774-8132
NPI assigned
Jan 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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 2025027068 MO Primary

Addresses

Primary practice location

1321 SE Princeton PL
Lees Summit, MO 64081-2751

Mailing address

1321 SE Princeton PL
Lees Summit, MO 64081-2751
Phone (816) 522-1820

Other identifiers 1

IdentifierTypeStateIssuer
490109127MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250814004093 MO Practitioner - Mental Health Counselor 3779082003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RediscoverGroup PAC ID 3375453517, 50 clinicians

Practice addresses (Care Compare)

1535 NE Rice Rd
Lees Summit, MO 64086-5849
Phone (816) 246-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rediscover CurrentSince Jul 2, 2025 Accepting new patients
Rediscover CurrentSince Jul 2, 2025 Accepting new patients

Locations

901 NE Independence Ave
Lees Summit, MO 64086
Phone (816) 246-1800

1535 NE Rice Rd
Bldg C
Lees Summit, MO 64086

1535 NE Rice Rd
Lees Summit, MO 64086
Phone (816) 347-3069

1555 NE Rice Rd
Lees Summit, MO 64086
Phone (816) 347-3069

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": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1063163665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 SE PRINCETON PL",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812751",
            "telephone_number": "816-522-1820",
            "fax_number": "816-774-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 SE PRINCETON PL",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812751",
            "telephone_number": "816-522-1820",
            "fax_number": "816-774-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "TIFFANY",
        "middle_name": "D",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2025027068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490109127",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.