Individual provider Active NPI

Tiffany A Welo

  • Mental Health Counselor
  • Federal Way, WA
National Provider Identifier
1215163738
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60044600 Issued in WA
Practice address
33301 1St Way S
Ste C-115
Federal Way, WA 98003-6252
Phone
(253) 661-6634
Fax
(253) 661-6428
NPI assigned
Jun 10, 2009
Last updated
Jun 10, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60044600 WA Primary

Addresses

Primary practice location

33301 1St Way S
Ste C-115
Federal Way, WA 98003-6252

Mailing address

2704 I St NE
Auburn, WA 98002-2411
Phone (253) 833-7444

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

LicenseStateTypeSpecialty
LH60044600WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Cities Counseling and Consultation PastSince May 15, 2017 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1215163738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 I ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980022411",
            "telephone_number": "253-833-7444",
            "fax_number": "253-735-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33301 1ST WAY S",
            "address_2": "STE C-115",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036252",
            "telephone_number": "253-661-6634",
            "fax_number": "253-661-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELO",
        "first_name": "TIFFANY",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60044600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.