Tiffany Nicole Wymore, MA.,PLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2016034260 Issued in MO

Practice address

9666 Olive Blvd Ste 370
Saint Louis, MO 63132-3025

Phone

(573) 701-2872

NPI assigned

Oct 14, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tiffany Nicole Pelton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Rise Above the Ashes Counseling LLC

  • Professional Counselor
  • Saint Louis, MO
  • NPI 1720808264
  NPD Authorized official

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1235680232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 N CHARLES ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622204021",
            "telephone_number": "573-701-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9666 OLIVE BLVD STE 370",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323025",
            "telephone_number": "573-701-2872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3284 Ivanhoe Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631392246",
            "country_code": "US",
            "telephone_number": "573-701-2872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYMORE",
        "first_name": "TIFFANY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MA.,PLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2016034260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "PELTON",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wydown Dental Group, Inc.
• Loughlin Sophia Wylie, MD
• Anne Elizabeth Wyman, MD
• Rich L. Wymer, LPC
• Steven Wymer, LPC
• Jocelyn Dennae Wyms, MSN-ED, RN, AGNP-C
• Wyndia Wind Transportation LLC
• Emily Jean Wynia, MD
• Breanna J Wynn
• Briana S Wynn

• Mental Health Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Mental Health Counselor in Missouri

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