Organization Active NPI

Tiffany White Counseling, PLLC

  • Professional Counselor
  • Amity, AR
National Provider Identifier
1154083178
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TIFFANY WHITE COUNSELING, PLLC
Practice address
311 North Main Street
Amity, AR 71921
Phone
(870) 997-0960
Fax
(870) 342-1128
NPI assigned
Oct 7, 2021
Last updated
Oct 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Authorized official

Name
Tiffany White, LPCNPI 1467969824
Title
Sole Owner
Phone
(870) 997-0960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

311 North Main Street
Amity, AR 71921

Mailing address

1616 US 70 East
Glenwood, AR 71943-8735
Phone (870) 997-0960

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address twhite@healthstarphysicians.com

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: twhite@healthstarphysicians.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1154083178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 US 70 EAST",
            "city": "GLENWOOD",
            "state": "AR",
            "postal_code": "719438735",
            "telephone_number": "870-997-0960",
            "fax_number": "870-342-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NORTH MAIN STREET",
            "city": "AMITY",
            "state": "AR",
            "postal_code": "71921",
            "telephone_number": "870-997-0960",
            "fax_number": "870-342-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY WHITE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "870-997-0960",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "twhite@healthstarphysicians.com",
            "affiliation": "N",
            "address_1": "1616 US 70 E",
            "city": "Glenwood",
            "state": "AR",
            "country_code": "US",
            "postal_code": "71943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Amity, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.