Individual provider Active NPI

Tiffany R Tschantz, LAC

  • Counselor
  • Phoenix, AZ
National Provider Identifier
1285112995
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
12772 Issued in AZ
Practice address
6401 S 16TH St
Phoenix, AZ 85042-4417
Phone
(623) 337-3114
NPI assigned
Aug 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 12772 AZ Primary

Addresses

Primary practice location

6401 S 16TH St
Phoenix, AZ 85042-4417

Mailing address

6401 S 16TH St
Phoenix, AZ 85042-4417

Other names 1

  • Tiffany R. Hipwell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240722003787 AZ Practitioner - Mental Health Counselor 9931645363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrative Psychotherapy and Assessment ServicesGroup PAC ID 4880990464, 6 clinicians

Practice addresses (Care Compare)

2102 W Bethany Home Rd
Phoenix, AZ 85015-1935
Phone (602) 774-4745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12772AZMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Psychotherapy and Assessment Services CurrentSince Jul 9, 2024 Accepting new patients

Locations

1136 E Harmony Ave
Ste 202B
Mesa, AZ 85204
Phone (480) 501-9990

1136 E Harmony Ave
Mesa, AZ 85204
Phone (480) 470-0150

2102 W Bethany Home Rd
Phoenix, AZ 85015
Phone (602) 526-8315

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1285112995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 S 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850424417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 S 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850424417",
            "telephone_number": "623-337-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSCHANTZ",
        "first_name": "TIFFANY",
        "middle_name": "R",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "12772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "HIPWELL",
            "middle_name": "R.",
            "credential": "LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.