Tiara Upshur

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704016275 Issued in VA

Practice address

10712 Ballantraye Dr Ste 310
Fredericksburg, VA 22407-4702

Phone

(540) 765-2970

NPI assigned

Jan 16, 2024

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

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1235990409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 FLETCHER DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224067440",
            "telephone_number": "540-424-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10712 BALLANTRAYE DR STE 310",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074702",
            "telephone_number": "540-765-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPSHUR",
        "first_name": "TIARA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704016275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Heard Unkefer, NP
• Shavonnah Upchurch
• Darin Michael Updyke, PA
• Uphold 3:18
• Poonam S Upreti, CRNA
• Ur Elite Transpo
• Alyssa Teresa Urban
• Yvette Urena-Peralta, FNP-BC
• Amy Ann Uriell, CRNA
• Michael James Uriell, CRNA

• Mental Health Counselor in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.