Active NPI
Tiffany Ray
- Professional Counselor
- West Chester, PA
National Provider Identifier
1366991861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC007821
- Practice address
- 139 W Market St
West Chester, PA 19382-2900 - Phone
- (814) 934-7960
- NPI assigned
- Sep 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC007821 | PA | Primary |
Addresses
Primary practice location
139 W Market St
West Chester, PA 19382-2900
Mailing address
139 W Market St
West Chester, PA 19382-2900
Phone (814) 934-7960
Other names 1
- Tiffany Teel
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC007821 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew J. Mauriello, Ma, P.C. | Professional | Past | 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.
-
- Professional Counselor
- West Chester, PA
- NPI 1033554076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474761600000",
"number": "1366991861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 W MARKET ST",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193822900",
"telephone_number": "814-934-7960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 W MARKET ST",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193822900",
"telephone_number": "814-934-7960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "TIFFANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-25",
"last_updated": "2016-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC007821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "TEEL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.