Active NPI
Tiffani N Jones, CMHT
- Counselor
- Hattiesburg, MS
National Provider Identifier
1073745741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0534
- Practice address
- 4100 Mamie St
Hattiesburg, MS 39402-1735 - Phone
- (601) 705-1901
- NPI assigned
- Aug 14, 2009
- Last updated
- Aug 14, 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0534 | MS | Primary |
Addresses
Primary practice location
4100 Mamie St
Hattiesburg, MS 39402-1735
Mailing address
4100 Mamie St
Hattiesburg, MS 39402-1735
Phone (601) 705-1901
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 |
|---|---|---|---|
| 0534 | MS | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250208000000",
"number": "1073745741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 MAMIE ST",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021735",
"telephone_number": "601-705-1901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 MAMIE ST",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021735",
"telephone_number": "601-705-1901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "TIFFANI",
"middle_name": "N",
"credential": "CMHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-14",
"last_updated": "2009-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MS",
"license": "0534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.