Individual provider Active NPI

Tiffany Roberts, LPCC

  • Mental Health Counselor
  • Somerset, KY
National Provider Identifier
1407531130
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
285290 Issued in KY
Practice address
600 Clifty St Ste 2
Somerset, KY 42503-1710
Phone
(606) 678-0026
Fax
(606) 678-0047
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 285290 KY Primary

Addresses

Primary practice location

600 Clifty St Ste 2
Somerset, KY 42503-1710

Mailing address

600 Clifty St Ste 2
Somerset, KY 42503-1710
Phone (606) 678-0026

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240108004011 KY Practitioner - Mental Health Counselor 7517318165 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
285290KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Quest Counseling Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

600 Clifty St
Ste 2
Somerset, KY 42503
Phone (606) 678-0026

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": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1407531130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CLIFTY ST STE 2",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425031710",
            "telephone_number": "606-678-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CLIFTY ST STE 2",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425031710",
            "telephone_number": "606-678-0026",
            "fax_number": "606-678-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "TIFFANY",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "285290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.