Individual provider Active NPI

Tiffany Leigh Gilliard, RIC

  • Mental Health Counselor
  • Culpeper, VA
National Provider Identifier
1356884357
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704011433 Issued in VA
Practice address
15536 Guinn LN
Culpeper, VA 22701-4639
Phone
(540) 755-0350
Fax
(540) 755-0351
NPI assigned
Nov 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Information Technician 247000000X
Mental Health Counselor 101YM0800X 0704011433 VA Primary

Addresses

Primary practice location

15536 Guinn LN
Culpeper, VA 22701-4639

Mailing address

15536 Guinn LN
Culpeper, VA 22701-4639
Phone (540) 755-0350

Other names 1

  • Tiffany Leigh Gearhart Former name

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

State licenses

LicenseStateTypeSpecialty
0704011433VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Ucp North Carolina & Virgiinia, Inc. PastSince Sep 11, 2022 Accepting new patients

Organizations & group practices 1

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": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1356884357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15536 GUINN LN",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227014639",
            "telephone_number": "540-755-0350",
            "fax_number": "540-755-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15536 GUINN LN",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227014639",
            "telephone_number": "540-755-0350",
            "fax_number": "540-755-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIARD",
        "first_name": "TIFFANY",
        "middle_name": "LEIGH",
        "credential": "RIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247000000X",
            "taxonomy_group": "",
            "desc": "Technician, Health Information",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704011433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "GEARHART",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Culpeper, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.