Active NPI
Tiffany Sheely, MS, LMHC
- Mental Health Counselor
- Pullman, WA
National Provider Identifier
1093203366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-6638
- Practice address
- 260 NW Golden Hills Dr SPC 4
Pullman, WA 99163-9766 - Phone
- (406) 224-9131
- NPI assigned
- Apr 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH61105449 | WA | |
| Mental Health Counselor | 101YM0800X | LPC-6638 | ID | Primary |
Addresses
Primary practice location
260 NW Golden Hills Dr SPC 4
Pullman, WA 99163-9766
Mailing address
9407 NE Vancouver Mall Dr, Ste 104 #360
Vanouver, WA 98662
Phone (406) 224-9131
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-6638 | ID | MD | Mental Health Counselor |
| LH61105449 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626307200000",
"number": "1093203366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9407 NE VANCOUVER MALL DR, STE 104 #360",
"city": "VANOUVER",
"state": "WA",
"postal_code": "98662",
"telephone_number": "406-224-9131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 NW GOLDEN HILLS DR SPC 4",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991639766",
"telephone_number": "406-224-9131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEELY",
"first_name": "TIFFANY",
"credential": "MS, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-23",
"last_updated": "2021-07-15",
"certification_date": "2021-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61105449",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LPC-6638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pullman, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.