Active NPI
Tiffini Sharifi, LPC
- Professional Counselor
- Richmond, VA
National Provider Identifier
1104399542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701008075
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701008075 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mind Health Center, LLC | Single Specialty | Current | 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.