Active NPI
Tiffany C Whittington, LPC
- Professional Counselor
- Marietta, GA
National Provider Identifier
1386819035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC003420
- Practice address
- 3855 Shallowford Rd
Suite 420
Marietta, GA 30062-4195 - Phone
- (678) 908-5820
- Fax
- (678) 908-5820
- NPI assigned
- Apr 24, 2008
- 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 | LPC003420 | GA | Primary |
Addresses
Primary practice location
3855 Shallowford Rd
Suite 420
Marietta, GA 30062-4195
Mailing address
3855 Shallowford Rd
Suite 420
Marietta, GA 30062-4195
Phone (678) 908-5820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 816992167A | Medicaid | GA |
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 |
|---|---|---|---|
| LPC003420 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369353600000",
"number": "1386819035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3855 SHALLOWFORD RD",
"address_2": "SUITE 420",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300624195",
"telephone_number": "678-908-5820",
"fax_number": "678-908-5820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3855 SHALLOWFORD RD",
"address_2": "SUITE 420",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300624195",
"telephone_number": "678-908-5820",
"fax_number": "678-908-5820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTINGTON",
"first_name": "TIFFANY",
"middle_name": "C",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-24",
"last_updated": "2013-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC003420",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "816992167A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.