Individual provider Active NPI

Tiffini Sharifi, LPC

  • Professional Counselor
  • Richmond, VA
National Provider Identifier
1104399542
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008075 Issued in VA
Practice address
5700 W Grace St Ste 105a
Richmond, VA 23226-1834
Phone
(804) 442-3116
NPI assigned
Jan 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 0701008075 VA Primary

Addresses

Primary practice location

5700 W Grace St Ste 105a
Richmond, VA 23226-1834

Mailing address

5700 W Grace St Ste 105a
Richmond, VA 23226-1834
Phone (804) 442-3116

Other practice location 1

411 W Randolph Rd
Hopewell, VA 23860-2938
Phone (225) 802-3760

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
0701008075VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Mind Health Center, LLC Single Specialty CurrentSince Oct 25, 2020 Accepting new patients

Locations

5700 W Grace St
Ste 105A
Richmond, VA 23226
Phone (804) 282-1885

Organizations & group practices 1

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": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1104399542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 W GRACE ST STE 105A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261834",
            "telephone_number": "804-442-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 W GRACE ST STE 105A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261834",
            "telephone_number": "804-442-3116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 W Randolph Rd",
            "address_purpose": "LOCATION",
            "city": "Hopewell",
            "state": "VA",
            "postal_code": "238602938",
            "country_code": "US",
            "telephone_number": "225-802-3760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARIFI",
        "first_name": "TIFFINI",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.