Individual provider Active NPI

Tiffany Michels, MS.ED, LBA, BCBA,IBA

  • Behavior Analyst
  • Elizabeth City, NC
National Provider Identifier
1093173593
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0134000145 Issued in VA
Practice address
208 Hastings LN
Elizabeth City, NC 27909-3324
Phone
(252) 621-1366
Fax
(833) 901-0451
NPI assigned
Jan 29, 2016
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0134000145 VA Primary

Addresses

Primary practice location

208 Hastings LN
Elizabeth City, NC 27909-3324

Mailing address

208 Hastings LN
Elizabeth City, NC 27909-3324
Phone (252) 621-1366

Other practice location 1

108 Rocky Top Rd
Moyock, NC 27958-9284
Phone (757) 769-9595

Other names 1

  • Tiffany Henry Former name

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
0134000145VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Helianthus Positive Behavior Supports LLC Behavior Analyst CurrentSince Mar 1, 2020 Accepting new patients
Lumapaths Behavioral Services, PLLC. Behavior Analyst Past Accepting new patients

Locations

208 Hastings Ln
Elizabeth Cty, NC 27909
Phone (252) 621-1366

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1093173593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 HASTINGS LN",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093324",
            "telephone_number": "252-621-1366",
            "fax_number": "833-901-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 HASTINGS LN",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093324",
            "telephone_number": "252-621-1366",
            "fax_number": "833-901-0451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Rocky Top Rd",
            "address_purpose": "LOCATION",
            "city": "Moyock",
            "state": "NC",
            "postal_code": "279589284",
            "country_code": "US",
            "telephone_number": "757-769-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHELS",
        "first_name": "TIFFANY",
        "credential": "MS.ED, LBA, BCBA,IBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0134000145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "HENRY",
            "credential": "MS.ED, LBA, BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.