Individual provider Active NPI

Tiffanie L Kestner, LPCC-S, LICDC-CS

  • Mental Health Counselor
  • Akron, OH
National Provider Identifier
1063870954
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E. 0008337 Issued in OH
Practice address
702 E Market St
Akron, OH 44305-2422
Phone
(330) 315-3789
Fax
(330) 315-5230
NPI assigned
Feb 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 081155 OH
Professional Counselor 101YP2500X E0008337 OH
Mental Health Counselor 101YM0800X E. 0008337 OH Primary

Addresses

Primary practice location

702 E Market St
Akron, OH 44305-2422

Mailing address

725 E Market St
Akron, OH 44305-2421
Phone (330) 315-3789

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

LicenseStateTypeSpecialty
081155OHMDAddiction (Substance Use Disorder) Counselor
E. 0008337OHMDMental Health Counselor
E0008337OHMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1063870954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443052421",
            "telephone_number": "330-315-3789",
            "fax_number": "330-315-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443052422",
            "telephone_number": "330-315-3789",
            "fax_number": "330-315-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTNER",
        "first_name": "TIFFANIE",
        "middle_name": "L",
        "credential": "LPCC-S, LICDC-CS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-05",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "081155",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0008337",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E. 0008337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.