Active NPI
Tiffany Dawn Tillman, MA
- Mental Health Counselor
- Burlington, VT
National Provider Identifier
1225905276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 097.6135211
- Practice address
- 100 Lafountain St
Burlington, VT 05401-4237 - Phone
- (802) 658-3296
- NPI assigned
- Oct 22, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 097.6135211 | VT | Primary |
Addresses
Primary practice location
100 Lafountain St
Burlington, VT 05401-4237
Mailing address
100 Lafountain St
Burlington, VT 05401-4237
Phone (802) 658-3296
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097.6135211 | VT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1225905276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 LAFOUNTAIN ST",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054014237",
"telephone_number": "802-658-3296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LAFOUNTAIN ST",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054014237",
"telephone_number": "802-658-3296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILLMAN",
"first_name": "TIFFANY",
"middle_name": "DAWN",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-22",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "097.6135211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.