Active NPI
Tiffany Courtnage, MSW
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1063659381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- RC60041932
- Practice address
- 1629 N 45TH St
Seattle, WA 98103 - Phone
- (206) 633-3350
- Fax
- (206) 633-3113
- NPI assigned
- Jan 8, 2009
- Last updated
- Jan 8, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | RC60041932 | WA | Primary |
Addresses
Primary practice location
1629 N 45TH St
Seattle, WA 98103
Mailing address
905 Spruce St, Ste 300
Seattle, WA 98104
Phone (206) 548-3011
Other names 1
- Tiffany Lordan
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC60041932 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231372800000",
"number": "1063659381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 SPRUCE ST, STE 300",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98104",
"telephone_number": "206-548-3011",
"fax_number": "206-461-6935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1629 N 45TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98103",
"telephone_number": "206-633-3350",
"fax_number": "206-633-3113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURTNAGE",
"first_name": "TIFFANY",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-08",
"last_updated": "2009-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "RC60041932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "LORDAN",
"credential": "MSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.