Individual provider Active NPI

Tiffany N Harris, LMHC

  • Mental Health Counselor
  • Plymouth, MA
National Provider Identifier
1356673156
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9134 Issued in MA
Practice address
34 Main Street Ext
Plymouth, MA 02360-8302
Phone
(508) 830-0012
NPI assigned
Feb 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9134 MA Primary

Addresses

Primary practice location

34 Main Street Ext
Plymouth, MA 02360-8302

Mailing address

10 5TH Ave
Pocasset, MA 02559-4907
Phone (774) 392-6006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240201002780 MA Practitioner - Mental Health Counselor 9830542224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Limbic Resources IncGroup PAC ID 8325359151, 12 clinicians

Practice addresses (Care Compare)

258 Main St
Suite B4
Bourne, MA 02532-3251
Phone (508) 743-5678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9134MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Limbic Resources Inc Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Plymouth County Behavioral Health LLC PastSince Jun 1, 2016 Accepting new patients

Locations

258 Main St
Ste B4
Buzzards Bay, MA 02532
Phone (508) 388-5833

119 Cedar St
Hyannis, MA 02601
Phone (508) 771-2198

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.

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1356673156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 5TH AVE",
            "city": "POCASSET",
            "state": "MA",
            "postal_code": "025594907",
            "telephone_number": "774-392-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MAIN STREET EXT",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023608302",
            "telephone_number": "508-830-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TIFFANY",
        "middle_name": "N",
        "name_prefix": "Miss",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "9134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.