Active NPI
Tiffany Telesca, LPC-S
- Professional Counselor
- Alpine, TX
National Provider Identifier
1184011488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 70289
- Practice address
- 106 N 5TH St
Alpine, TX 79830-4602 - Phone
- (432) 294-4153
- NPI assigned
- Apr 24, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 70289 | TX | Primary |
Addresses
Primary practice location
106 N 5TH St
Alpine, TX 79830-4602
Mailing address
PO Box 2464
Alpine, TX 79831-2464
Phone (432) 294-4153
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 |
|---|---|---|---|
| 70289 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1184011488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2464",
"city": "ALPINE",
"state": "TX",
"postal_code": "798312464",
"telephone_number": "432-294-4153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 N 5TH ST",
"city": "ALPINE",
"state": "TX",
"postal_code": "798304602",
"telephone_number": "432-294-4153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELESCA",
"first_name": "TIFFANY",
"name_prefix": "Mrs.",
"credential": "LPC-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-24",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "70289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.