Individual provider Active NPI

Tiffany Christina Greene, M.S., LPC-MHSP

  • Professional Counselor
  • Knoxville, TN
National Provider Identifier
1275890626
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3291 Issued in TN
Practice address
9041 Executive Park Dr Ste 275B
Knoxville, TN 37923-4621
Phone
(865) 338-5384
Fax
(865) 338-5383
NPI assigned
Apr 23, 2012
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3291 TN Primary

Addresses

Primary practice location

9041 Executive Park Dr Ste 275B
Knoxville, TN 37923-4621

Mailing address

9041 Executive Park Dr Ste 275B
Knoxville, TN 37923-4621
Phone (865) 338-5384

Other identifiers 1

IdentifierTypeStateIssuer
Q008900MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20231219000548 TN Practitioner - Mental Health Counselor 6507216413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Next Step Behavioral Health LLCGroup PAC ID 3375873698, 14 clinicians

Practice addresses (Care Compare)

9041 Executive Park Dr
Suite 275B
Knoxville, TN 37923-4621
Phone (865) 338-5384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3291TNMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Next Step Behavioral Health LLC CurrentSince Feb 3, 2026 Accepting new patients
Helen Ross McNabb Center PastSince Mar 7, 2021 Accepting new patients

Locations

207 N Boone St
Ste 13
Johnson City, TN 37604
Phone (865) 219-3937

Organizations & group practices 2

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": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1275890626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9041 EXECUTIVE PARK DR STE 275B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234621",
            "telephone_number": "865-338-5384",
            "fax_number": "865-338-5383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9041 EXECUTIVE PARK DR STE 275B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234621",
            "telephone_number": "865-338-5384",
            "fax_number": "865-338-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "TIFFANY",
        "middle_name": "CHRISTINA",
        "credential": "M.S., LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q008900",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.