Tiffany D Allen, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.007588 Issued in IL

Practice address

400 S Lewis LN
Carbondale, IL 62901-3547

Phone

(618) 519-9200

Fax

(618) 519-9961

NPI assigned

Jul 19, 2018

Last updated

Jan 5, 2023By 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

Other names 1

• Tiffany Harrison Other name

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tiffany.allen.1@14668.direct.athenahealth.com

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.

• Shawnee Health Service and Development Corp

  • Federally Qualified Health Center (FQHC)
  • Carterville, IL
  • NPI 1639295314

  Clinical

  Medicare reassignment NPD
• Shawnee Health Service and Development Corp

  dba Shawnee Health Pharmacy Carbondale

  • Community/Retail Pharmacy
  • Carbondale, IL
  • NPI 1760253447
  NPD
• Shawnee Health Service and Development Corp

  dba Marion Wellness

  • Federally Qualified Health Center (FQHC)
  • Marion, IL
  • NPI 1881624161

  Mental Health

  NPD
• Shawnee Health Service and Development Corp

  dba Shawnee Health Care, Carbondale

  • Federally Qualified Health Center (FQHC)
  • Carbondale, IL
  • NPI 1073745345

  Mental Health

  NPD (past)
• Shawnee Health Service and Development Corp

  dba Shawnee Health Care, Murphysboro

  • Federally Qualified Health Center (FQHC)
  • Murphysboro, IL
  • NPI 1245260645

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1326525668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CALIFORNIA ST, PO BOX 577",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629180577",
            "telephone_number": "618-519-9200",
            "fax_number": "618-985-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S LEWIS LN",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629013547",
            "telephone_number": "618-519-9200",
            "fax_number": "618-519-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "TIFFANY",
        "middle_name": "D",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.007588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "HARRISON",
            "credential": "LCPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Samantha Albeedh, MSW, LSW
• Muhammad Armughan Ali, M.D.
• Align Healthcare LLC
• Align Healthcares LLC
• Nicole C Allen
• Allied Physicians and Rehab of Southern Illinois, S.C.
• Ahmad Mohammad Mousa Alnasarat, M.D
• Valerie Alstat, PHARM. D.
• Kanisha Tamara Alston
• Sara Mohammad Hussein Altaamreh, MD

• Mental Health Counselor in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.

Verify at the official NPI Registry.