Tiffany Camilla Elliott, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

L587 Issued in AL

Practice address

2541 College St
Montgomery, AL 36106-2124

Phone

(205) 585-4160

NPI assigned

Oct 30, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Noahs Ark Child & Family Treatment Center Inc

  • Preferred Provider Organization
  • Birmingham, AL
  • NPI 1093122533
  NPD (past)

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1194369397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S ORCHARD ST APT 8C",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748414",
            "telephone_number": "205-585-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2541 COLLEGE ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062124",
            "telephone_number": "205-585-4160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7841 1st Ave N",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352064354",
            "country_code": "US",
            "telephone_number": "205-585-4160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "TIFFANY",
        "middle_name": "CAMILLA",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AL",
            "license": "L587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darin Lamar Elliott, PHARMD
• Emily Elliott, FNP-C
• Jessica Nelson Elliott, DO, PHD
• Leah Shepherd Elliott, LMFT
• Lisa Christian Elliott, LPC-S, NCC, RPT-S
• Dawn A Ellis-Murray, LICSW-PIP, S
• Adrienne Elyse Ellis, PTA
• Charles Michael Ellis, P.T., ATC
• Elizabeth Alison Knight Ellis, NP
• Kelsey Ellis, PHARMD

• Marriage & Family Therapist in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Marriage & Family Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.