Active NPI
Tiffany Hall
- Mental Health Counselor
- Durham, NC
National Provider Identifier
1184894834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A10403
- Practice address
- 700 Stone Lion Dr
Apt 735
Durham, NC 27703-6171 - Phone
- (336) 953-4219
- NPI assigned
- Mar 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A10403 | NC | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3555-A | NC |
Addresses
Primary practice location
700 Stone Lion Dr
Apt 735
Durham, NC 27703-6171
Mailing address
700 Stone Lion Dr
Apt 735
Durham, NC 27703-6171
Phone (336) 953-4219
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 |
|---|---|---|---|
| 3555-A | NC | MD | Addiction (Substance Use Disorder) Counselor |
| A10403 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389744000000",
"number": "1184894834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 STONE LION DR",
"address_2": "APT 735",
"city": "DURHAM",
"state": "NC",
"postal_code": "277036171",
"telephone_number": "336-953-4219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 STONE LION DR",
"address_2": "APT 735",
"city": "DURHAM",
"state": "NC",
"postal_code": "277036171",
"telephone_number": "336-953-4219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "TIFFANY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-10",
"last_updated": "2014-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A10403",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "3555-A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.