Troy Frederick Tiberi, MA
Individual provider Active NPI Mental Health Counselor · Upland, IN
NPI 1285939306 · NPPES record last updated Apr 13, 2015
Key facts
- NPI
- 1285939306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 39002415A (IN)
- Practice address
- 63 N Main St
Upland, IN 46989 - Phone
- (765) 808-8599
- NPI assigned
- Jan 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39002415A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upland Counseling Group, LLC | Mental Health | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39002415A | IN | Yes |
Addresses
Primary practice location
63 N Main St
Upland, IN 46989
Mailing address
PO Box 297
Upland, IN 46989-0297
Phone (765) 808-8599
Other providers in Upland, IN
- Stephen A Phillips
- Susan Marie Ralston
- Patience Ramsey
- Usha Thapa
- The Health and Hospital Corporation of Marion County
- Upland Counseling Group, LLC
- Upland Family Pharmacy LLC
- Joanna A Voors
- You-Ying Wang Whipple
- Jessica Ann Williams
All providers in Upland, IN · Mental Health Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.