Tiffany Nixon, BS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

6266 Dupont Station CT E
Jacksonville, FL 32217-2567

Phone

(904) 745-0067

NPI assigned

Sep 13, 2019

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1396395133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7055 BLANDING BLVD UNIT 440876",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322444422",
            "telephone_number": "904-608-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6266 DUPONT STATION CT E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172567",
            "telephone_number": "904-745-0067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5776 Saint Augustine Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078046",
            "country_code": "US",
            "telephone_number": "904-448-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6915 Ortega Woods Dr Unit 4",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322447858",
            "country_code": "US",
            "telephone_number": "904-608-9918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIXON",
        "first_name": "TIFFANY",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Renee Nitz, OTR/L
• Nix Loving Angels LLC
• Kenneth Gordon Nix Jr., M.D.
• Amanda Victoria Nixon, PSYD
• Kenneth E Nixon, MD
• Cho Nkengla
• NLD Specialists PLLC
• NLS Family Enterprise, Inc.
• NMR Wellness Group, LLC
• Noble Care LLC

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.