Individual provider Active NPI

Tiffany Menard, LADC I

  • Addiction (Substance Use Disorder) Counselor
  • North Dartmouth, MA
National Provider Identifier
1265067557
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
25 Old Westport Rd
North Dartmouth, MA 02747-2537
Phone
(508) 802-5289
NPI assigned
Mar 6, 2020
Last updated
Jun 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

25 Old Westport Rd
North Dartmouth, MA 02747-2537

Mailing address

5 Highland CT
Wareham, MA 02571-1471
Phone (508) 558-6955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260410002040 MA Practitioner - Mental Health Counselor 8527580562 Reassigns benefits to 1 organization
I20260413002513 ME Practitioner - Mental Health Counselor 8527580562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

146 Hayden Hill Rd
Torrington, CT 06790-2308

35 Thorpe Ave
Suite 104
Wallingford, CT 06492-1943

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dontie Wilkinson, Licsw, LLC Current Accepting new patients
D&T Behavioral Health, LLC. CurrentSince Jul 2, 2023 Accepting new patients
We Recover LLC Current Accepting new patients

Locations

25 Old Westport Rd
North Dartmouth, MA 02747
Phone (508) 813-0981

Organizations & group practices 5

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": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1265067557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HIGHLAND CT",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025711471",
            "telephone_number": "508-558-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 OLD WESTPORT RD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027472537",
            "telephone_number": "508-802-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENARD",
        "first_name": "TIFFANY",
        "credential": "LADC I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.