Active NPI
Tiffany Lee Kaelin, LMFT
- Marriage & Family Therapist
- Newport, RI
National Provider Identifier
1336874155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT00252
- Practice address
- 207 Broadway Apt 201
Newport, RI 02840-2610 - Phone
- (203) 751-1188
- Fax
- (401) 247-8379
- NPI assigned
- Jul 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFT00252 | RI | |
| Marriage & Family Therapist | 106H00000X | MFT00252 | RI | Primary |
Addresses
Primary practice location
207 Broadway Apt 201
Newport, RI 02840-2610
Mailing address
207 Broadway Apt 201
Newport, RI 02840-2610
Phone (203) 751-1188
Other practice location 1
1130 Ten Rod Rd Ste E305
North Kingstown, RI 02852-4176
Phone (401) 294-0451
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT00252 | RI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ricbt, Inc. | Mental Health | Current | Accepting new patients |
| Flourishing Minds Therapy and Coaching LLC | Mental Health | Current | Accepting new patients |
Locations
1130 Ten Rod Rd
Ste E305
North Kingstown, RI 02852
Phone 4012940451824
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Marriage & Family Therapist
- North Kingstown, RI
- NPI 1023833845
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1336874155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 BROADWAY APT 201",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028402610",
"telephone_number": "203-751-1188",
"fax_number": "401-247-8379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 BROADWAY APT 201",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028402610",
"telephone_number": "203-751-1188",
"fax_number": "401-247-8379"
}
],
"practiceLocations": [
{
"address_1": "1130 Ten Rod Rd Ste E305",
"address_purpose": "LOCATION",
"city": "North Kingstown",
"state": "RI",
"postal_code": "028524176",
"country_code": "US",
"telephone_number": "401-294-0451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAELIN",
"first_name": "TIFFANY",
"middle_name": "LEE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-18",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "MFT00252",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "RI",
"license": "MFT00252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.