Tiffany M. B. Chouteau, MS, PCC-S

Primary specialty

CounselorTaxonomy code 101Y00000X

License

E.0601016-SUPV Issued in OH

Practice address

460 Windsor Park Dr
Centerville, OH 45459-4111

Phone

(937) 409-6156

Fax

(937) 230-3420

NPI assigned

Oct 22, 2012

Last updated

Jun 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Heartful Way Counseling, LLC

  • Counselor
  • Centerville, OH
  • NPI 1225819295
  NPD Authorized official
• Ohio Psychological Testing, LLC

  dba Opt

  • Clinical Psychologist
  • Centerville, OH
  • NPI 1225424922
  NPD (past)
• The Counseling and Cooperative Parenting Center of Ohio, LLC

  • Clinical Social Worker
  • Cincinnati, OH
  • NPI 1841421351
  NPD (past)

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1285987784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 WINDSOR PARK DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594111",
            "telephone_number": "937-409-6156",
            "fax_number": "937-230-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 WINDSOR PARK DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594111",
            "telephone_number": "937-409-6156",
            "fax_number": "937-230-3420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Rhoads Center Dr",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454583859",
            "country_code": "US",
            "telephone_number": "937-291-3342",
            "fax_number": "937-999-2467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOUTEAU",
        "first_name": "TIFFANY",
        "middle_name": "M. B.",
        "credential": "MS, PCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.0601016-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Chetosky, PHARMD
• CHI Living Communities (St. Leonard)
• CHI Living Communties (St. Leonard)
• Lori Ann Chidester, BCABA
• Kavitha Aluri Choudary, M.D.
• Bridget Chrapko, RN
• Todd W Christie, PA-C
• Christopher Reeder & Associates Plastic Surgery LLC
• Michael Joseph Ciaramitaro, PA-C
• Sarah Cicconetti

• Counselor in Centerville, OH
• Providers in Centerville, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.