Tiffany Otting, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

69805 Issued in TX

Practice address

213 Sinuso Dr
Georgetown, TX 78628-1533

Phone

(512) 569-8092

Fax

(512) 788-5634

NPI assigned

May 20, 2016

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Revolutionary Wellness, PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Georgetown, TX
  • NPI 1609311455

  Professional

  NPD

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565481600000",
    "number": "1346697125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 KNIGHT ST",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267920",
            "telephone_number": "512-569-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 SINUSO DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281533",
            "telephone_number": "512-569-8092",
            "fax_number": "512-788-5634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 Williams Dr",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786283660",
            "country_code": "US",
            "telephone_number": "512-788-5634",
            "fax_number": "512-788-5634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTING",
        "first_name": "TIFFANY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2019-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Ortegon
• Jocelyn Ortiz Santana
• Marguerite Otshewo Osamba
• Maddison Linette Osborn
• Feroz A Osmani, MD
• Vicky Suzanne Ottmers, DDS
• Richard Elmer Otto, MD
• Julie D Overby-Anaya, DPM
• Gail M Overton, MS, LN
• Jessica Lauren Oviedo, PT, DPT

• Professional Counselor in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2019; 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.