Individual provider Active NPI

Tiffany Crystal White

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1134513682
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC109371 Issued in CA
Practice address
1396 W Herndon Ave
Fresno, CA 93711-7126
Phone
(559) 256-4474
NPI assigned
Mar 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 85258 CA
Marriage & Family Therapist 106H00000X MFC109371 CA Primary

Addresses

Primary practice location

1396 W Herndon Ave
Fresno, CA 93711-7126

Mailing address

PO Box 4
Hanford, CA 93232-0004
Phone (559) 537-5729

Other practice location 1

1225 M St
Fresno, CA 93721-1805
Phone (559) 600-9313

Other practice location 2

1925 E Dakota Ave Ste Q
Fresno, CA 93726-4821
Phone (559) 600-4645

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
85258CAMDMarriage & Family Therapist
MFC109371CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kings View PastSince Oct 1, 2019 Accepting new patients

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": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1134513682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932320004",
            "telephone_number": "559-537-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1396 W HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937117126",
            "telephone_number": "559-256-4474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 M St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937211805",
            "country_code": "US",
            "telephone_number": "559-600-9313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1925 E Dakota Ave Ste Q",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937264821",
            "country_code": "US",
            "telephone_number": "559-600-4645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TIFFANY",
        "middle_name": "CRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2023-04-25",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "85258",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC109371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.