Individual provider Active NPI

Tiffany Denise Williams, THERAPIST

  • Mental Health Counselor
  • Los Angeles, CA
National Provider Identifier
1104280932
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8288 Issued in CA
Practice address
8939 S Sepulveda Blvd Ste 102
Los Angeles, CA 90045-3605
Phone
(323) 826-7359
Fax
(323) 826-5262
NPI assigned
Apr 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8288 CA Primary
Clinical Social Worker 1041C0700X 8288 CA
Professional Counselor 101YP2500X 8288 CA

Addresses

Primary practice location

8939 S Sepulveda Blvd Ste 102
Los Angeles, CA 90045-3605

Mailing address

8939 S Sepulveda Blvd Ste 102
Los Angeles, CA 90045-3605
Phone (323) 826-7359

Other names 1

  • Tiffany Denise Williams Professional 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

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Impact Counseling Group Mental Health Current Accepting new patients

Locations

8939 S Sepulveda Blvd
Ste 102
Los Angeles, CA 90045
Phone (310) 736-2145

Interoperability endpoints

  • Direct secure messaging: tiffanywilliams@tdh.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1104280932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8939 S SEPULVEDA BLVD STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453605",
            "telephone_number": "323-826-7359",
            "fax_number": "323-826-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8939 S SEPULVEDA BLVD STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453605",
            "telephone_number": "323-826-7359",
            "fax_number": "323-826-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TIFFANY",
        "middle_name": "DENISE",
        "credential": "THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "8288",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "8288",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "8288",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "WILLIAMS",
            "middle_name": "DENISE",
            "credential": "THERAPIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.