David Terry Tipton, MA, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

105743 Issued in KY

Practice address

2785 N Main St Ste 101B
Hazard, KY 41701-5910

Phone

(606) 224-8451

NPI assigned

Jan 2, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Mental Health Counselor

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Courage to Change Counseling Services LLC

  • Mental Health Counselor
  • London, KY
  • NPI 1912761933
  Medicare reassignment NPD Authorized official
• Courage to Change Corp

  • Mental Health Counselor
  • Hazard, KY
  • NPI 1215710819
  NPD Authorized official

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1376312397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 WALKER LN",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407449036",
            "telephone_number": "606-224-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 N MAIN ST STE 101B",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417015910",
            "telephone_number": "606-224-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "DAVID",
        "middle_name": "TERRY",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "KY0319",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "105743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Thompson
• Robert Allen Thompson, LCSW/ APRN
• Willa Thornsberry
• Cora Tillett
• Ernestine Tilley, LCSW
• Ramanakar V. Tiruchinapalli, MD
• Shubham Tomar, MBBS, MPH
• Josef Lee Toussaint, MD
• Transitions Occupational Therapy
• Daniel Tremblay

• Mental Health Counselor in Hazard, KY
• Providers in Hazard, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.