Individual provider Active NPI

Tiffany Michelle Sands, LCPC

  • Professional Counselor
  • Crownsville, MD
National Provider Identifier
1114433000
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC8129 Issued in MD
Practice address
43 Community PL
Crownsville, MD 21032-2034
Phone
(410) 975-0067
NPI assigned
Dec 14, 2017
Last updated
Sep 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC8129 MD Primary

Addresses

Primary practice location

43 Community PL
Crownsville, MD 21032-2034

Mailing address

10816 Town Center Blvd # 105
Dunkirk, MD 20754-2708

Other practice location 1

10816 Town Center Blvd # 105
Dunkirk, MD 20754-2708
Phone (741) 885-9903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240402004129 MD Practitioner - Mental Health Counselor 2062857394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert a. Pascal Youth and Family Services, Inc.Group PAC ID 6406933472, 6 clinicians
Sand Dollar Consulting, LLCGroup PAC ID 4284178732, 2 clinicians

Practice addresses (Care Compare)

43 Community PL
Crownsville, MD 21032-2034
Phone (470) 975-0067

7951 Stream Walk Way
Chesapeake Beach, MD 20732-4666
Phone (443) 404-9488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sand Dollar Consulting, LLC Professional CurrentSince Jun 12, 2024 Accepting new patients
Robert a. Pascal Youth & Family Services, Inc. CurrentSince Sep 1, 2015 Accepting new patients

Locations

43 Community Pl
Crownsville, MD 21032
Phone (410) 571-4500

741 Annapolis Rd
Gambrills, MD 21054

570 Ritchie Hwy
#H
Severna Park, MD 21146

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1114433000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10816 TOWN CENTER BLVD # 105",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207542708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 COMMUNITY PL",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210322034",
            "telephone_number": "410-975-0067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10816 Town Center Blvd # 105",
            "address_purpose": "LOCATION",
            "city": "Dunkirk",
            "state": "MD",
            "postal_code": "207542708",
            "country_code": "US",
            "telephone_number": "741-885-9903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDS",
        "first_name": "TIFFANY",
        "middle_name": "MICHELLE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-14",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC8129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crownsville, MD

Sources for this page

Verify at the official NPI Registry.