Tiffany St John Voinche

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

9044 Issued in LA

Practice address

1000 Chinaberry Dr Ste 502
Bossier City, LA 71111-2462

Phone

(318) 465-5184

NPI assigned

Mar 6, 2020

Last updated

Jul 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other names 1

• Tiffany St John Former name

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Hope Addiction Recovery, LLC

  dba New Hope Addiction Clinic

  • Addiction Medicine (Family Medicine) Physician
  • Shreveport, LA
  • NPI 1083386809

  Professional

  Medicare reassignment NPD
• Grandir Counseling and Restoration LLC

  • Professional Counselor
  • Bossier City, LA
  • NPI 1326880600
  Authorized official Same address or phone
• New Hope Addiction Recovery, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Shreveport, LA
  • NPI 1821623315
  NPD (past)

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1255966636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 ELI CONNOR DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711124800",
            "telephone_number": "318-465-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CHINABERRY DR STE 502",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112462",
            "telephone_number": "318-465-5184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 Doctors Dr",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711113321",
            "country_code": "US",
            "telephone_number": "318-946-8157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 General Gardner Ave",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705017824",
            "country_code": "US",
            "telephone_number": "318-216-5088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOINCHE",
        "first_name": "TIFFANY",
        "middle_name": "ST JOHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "9044",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "ST JOHN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shae M Vines
• Susan Mayes Vining, LPC
• Gregory Robert Vinz, RPH
• Vision Integrated Programs LLC
• Visionworks, Inc (Eyemasters)
• Martha R Wafer, M.D.
• Jae Waggoner, PHARMD
• Wal-Mart Stores East , LP (Walmart Pharmacy 10-3752)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5204)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0376)

• Professional Counselor in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.