Individual provider Active NPI

Tiffany Allen

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1134512296
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
71017 Issued in TX
Practice address
1011 Meredith Dr Ste 12
Austin, TX 78748
Phone
(512) 710-9730
NPI assigned
Mar 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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 71017 TX Primary

Addresses

Primary practice location

1011 Meredith Dr Ste 12
Austin, TX 78748

Mailing address

1011 Meredith Dr Ste 12
Austin, TX 78748-3763
Phone (512) 710-9730

Other practice location 1

1009 N Georgetown St
Round Rock, TX 78664-3289
Phone (512) 255-1720

Other practice location 2

1011 Meredith Dr Ste 12
Austin, TX 78748
Phone (512) 710-9730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1134512296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 MEREDITH DR STE 12",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787483763",
            "telephone_number": "512-710-9730",
            "fax_number": "512-272-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 MEREDITH DR STE 12",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78748",
            "telephone_number": "512-710-9730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1009 N Georgetown St",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786643289",
            "country_code": "US",
            "telephone_number": "512-255-1720",
            "fax_number": "512-272-0130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 Meredith Dr Ste 12",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78748",
            "country_code": "US",
            "telephone_number": "512-710-9730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-13",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.