Individual provider Active NPI

Tiffany Jeanette Pulliam, LPC-MHSP

  • Professional Counselor
  • Cordova, TN
National Provider Identifier
1356151880
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7067 Issued in TN
Practice address
8336 Macon Rd
Cordova, TN 38018-8554
Phone
(901) 682-3035
Fax
(901) 682-3049
NPI assigned
Jan 8, 2025
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7067 TN Primary

Addresses

Primary practice location

8336 Macon Rd
Cordova, TN 38018-8554

Mailing address

8336 Macon Rd
Cordova, TN 38018-8554
Phone (901) 337-0305

Other practice location 1

2298 Young Ave
Memphis, TN 38104-5755
Phone (901) 602-6935 ext. 70305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20250709004397 TN Practitioner - Mental Health Counselor 1759895832 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blues City Psychiatry, PLLCGroup PAC ID 7618001470, 8 clinicians

Practice addresses (Care Compare)

8336 Macon Rd
Cordova, TN 38018-8554
Phone (901) 682-3035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7067TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shakti's Greenhouse LLC CurrentSince Jan 12, 2025 Accepting new patients
Blues City Psychiatry, PLLC CurrentSince Apr 22, 2025 Accepting new patients
Pulliam Counseling & Coaching CurrentSince Feb 2, 2025 Accepting new patients

Locations

8336 Macon Rd
Cordova, TN 38018
Phone (901) 682-3035

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1356151880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8336 MACON RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188554",
            "telephone_number": "901-337-0305",
            "fax_number": "901-682-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8336 MACON RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188554",
            "telephone_number": "901-682-3035",
            "fax_number": "901-682-3049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2298 Young Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381045755",
            "country_code": "US",
            "telephone_number": "901-602-6935 x70305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULLIAM",
        "first_name": "TIFFANY",
        "middle_name": "JEANETTE",
        "name_prefix": "Ms.",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-08",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "7067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.