Tiffaney Wilson, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00915600 Issued in NJ

Practice address

220 Jack Martin Blvd BLDG E2
Brick, NJ 08724-7772

Phone

(732) 920-3434

NPI assigned

Oct 9, 2025

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1205701109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 ZIRCON DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087533044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 JACK MARTIN BLVD BLDG E2",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247772",
            "telephone_number": "732-920-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TIFFANEY",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00915600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477563534",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Willow Springs Operator LLC
• Willow Springs Operator, LLC
• Judith Willson
• Christopher Wilson, MD
• Francis Paul Wilson, DO
• Windward Transportation, LLC
• Neal Jeffrey Winzelberg, MD
• Jacqueline Michelle Wisnik-Rainville, MD
• Melissa Wladich, LCSW
• Judith Wolansky, COTA

• Mental Health Counselor in Brick, NJ
• Providers in Brick, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.