Active NPI
Tiffany Denise Williams, THERAPIST
- Mental Health Counselor
- Los Angeles, CA
National Provider Identifier
1104280932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8288
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New 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
- 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.
-
- Mental Health Counselor
- Los Angeles, CA
- NPI 1629748272
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
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.