Individual provider Active NPI

Tiffany Marie Hollis, LPC

  • Professional Counselor
  • Millsboro, DE
National Provider Identifier
1376289892
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC-0011782 Issued in DE
Practice address
24077 Country Living Rd Ste 2
Millsboro, DE 19966-3188
Phone
(302) 772-5132
NPI assigned
May 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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 PC-0011782 DE Primary

Addresses

Primary practice location

24077 Country Living Rd Ste 2
Millsboro, DE 19966-3188

Mailing address

24077 Country Living Rd Ste 2
Millsboro, DE 19966-3188
Phone (302) 224-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20251027004152 DE Practitioner - Mental Health Counselor 5294224630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Atlantic Behavioral Health, LLCGroup PAC ID 3375620016, 88 clinicians

Practice addresses (Care Compare)

24077 Country Living Rd
Suite 2
Millsboro, DE 19966-3188
Phone (302) 224-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC-0011782DEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Behavioral Health, LLC Mental Health CurrentSince Nov 15, 2025 Accepting new patients

Locations

24077 Country Living Rd
Ste 2
Millsboro, DE 19966
Phone (302) 772-5132

910 S Chapel St
Ste 102
Newark, DE 19713
Phone 3022241400 ext. 614

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": "1651968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1376289892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24077 COUNTRY LIVING RD STE 2",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663188",
            "telephone_number": "302-224-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24077 COUNTRY LIVING RD STE 2",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663188",
            "telephone_number": "302-772-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-08",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0011782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millsboro, DE

Sources for this page

Verify at the official NPI Registry.