Active NPI
Tiffany Green, M.ED, NCC, LPC
- Professional Counselor
- Fort Worth, TX
National Provider Identifier
1336801281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5194
- Practice address
- 1408 Mark CT
Fort Worth, TX 76108-3568 - Phone
- (203) 912-0254
- NPI assigned
- Oct 7, 2021
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5194 | CT | Primary |
Addresses
Primary practice location
1408 Mark CT
Fort Worth, TX 76108-3568
Mailing address
PO Box 27280
West Haven, CT 06516-8280
Phone (203) 912-0254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633564800000",
"number": "1336801281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27280",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065168280",
"telephone_number": "203-912-0254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 MARK CT",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761083568",
"telephone_number": "203-912-0254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "TIFFANY",
"credential": "M.ED, NCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-07",
"last_updated": "2021-10-07",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "5194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.