Active NPI
Tiffany L Early, MHP
- Mental Health Counselor
- Franklin Park, IL
National Provider Identifier
1295463693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 10001 Grand Ave
Franklin Park, IL 60131-2563 - Phone
- (847) 451-0330
- NPI assigned
- Aug 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
10001 Grand Ave
Franklin Park, IL 60131-2563
Mailing address
10559 Diversey Ave
Melrose Park, IL 60164-1513
Phone (337) 288-4806
Other practice location 1
47 6th Ave
LA Grange, IL 60525-2499
Phone (815) 601-0051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1295463693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10559 DIVERSEY AVE",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601641513",
"telephone_number": "337-288-4806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10001 GRAND AVE",
"city": "FRANKLIN PARK",
"state": "IL",
"postal_code": "601312563",
"telephone_number": "847-451-0330"
}
],
"practiceLocations": [
{
"address_1": "47 6th Ave",
"address_purpose": "LOCATION",
"city": "LA Grange",
"state": "IL",
"postal_code": "605252499",
"country_code": "US",
"telephone_number": "815-601-0051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EARLY",
"first_name": "TIFFANY",
"middle_name": "L",
"credential": "MHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-12",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Franklin Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.