Individual provider Active NPI

Tiffany Pinson, SOCIAL WORKER

  • Mental Health Counselor
  • Westland, MI
National Provider Identifier
1386357747
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6851116007 Issued in MI
Practice address
34290 Ford Rd
Westland, MI 48185-3051
Phone
(313) 978-3869
NPI assigned
Jan 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6851116007 MI Primary
Social Worker 104100000X

Addresses

Primary practice location

34290 Ford Rd
Westland, MI 48185-3051

Mailing address

41800 Hayes Rd Ste 208
Clinton TWP, MI 48038-1876
Phone (586) 203-2170

Other practice location 1

41800 Hayes Rd Ste 208
Clinton Twp, MI 48038-1876
Phone (586) 203-2170

Other names 1

  • Tiffany Pinson Professional name

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL Mylifelinecenter@gmail.com
CONNECT URL Mylifelinecenter@gmail.com
CONNECT URL Mylifecenter@gmail.com
CONNECT URL Mylifelinecenter@gmail.com

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
6851116007MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Center, PLLC Social Worker CurrentSince Jan 1, 2023 Accepting new patients

Locations

41800 Hayes Rd
Ste 208
Clinton Twp, MI 48038
Phone (586) 203-2170

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": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1386357747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41800 HAYES RD STE 208",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381876",
            "telephone_number": "586-203-2170",
            "fax_number": "888-910-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34290 FORD RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481853051",
            "telephone_number": "313-978-3869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41800 Hayes Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Clinton Twp",
            "state": "MI",
            "postal_code": "480381876",
            "country_code": "US",
            "telephone_number": "586-203-2170",
            "fax_number": "888-910-9922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINSON",
        "first_name": "TIFFANY",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6851116007",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Mylifelinecenter@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Organization email",
            "address_1": "41800 Hayes Rd Ste 208",
            "city": "Clinton Twp",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480381876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Mylifelinecenter@gmail.com",
            "affiliation": "N",
            "endpointDescription": "organization email",
            "address_1": "41800 Hayes Rd Ste 208",
            "city": "Clinton Twp",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480381876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Mylifecenter@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Organization email.",
            "address_1": "41800 Hayes Rd Ste 208",
            "city": "Clinton Twp",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480381876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Mylifelinecenter@gmail.com",
            "affiliation": "N",
            "endpointDescription": "organization email",
            "address_1": "41800 Hayes Rd Ste 208",
            "city": "Clinton Twp",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480381876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "PINSON",
            "credential": "SOCIAL WORKER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.