Active NPI
Tiffany Ann Bickett, M.A.
- Mental Health Counselor
- Shepherdsville, KY
National Provider Identifier
1407684152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1707 Cedar Grove Rd Ste 20
Shepherdsville, KY 40165-8592 - Phone
- (502) 215-5090
- NPI assigned
- Jul 24, 2024
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1707 Cedar Grove Rd Ste 20
Shepherdsville, KY 40165-8592
Mailing address
901 S 4TH St
Louisville, KY 40203-3205
Phone (502) 873-4472
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrics of Bullitt County PLLC | Current | Accepting new patients | |
| Pediatrics of Bullitt County PLLC | Past | Accepting new patients |
Locations
1707 Cedar Grove Rd
Ste 20
Shepherdsville, KY 40165
Phone (502) 215-2090
Organizations & group practices 2
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.
-
- Rural Health Clinic/Center
- Shepherdsville, KY
- NPI 1164293908
-
- Pediatrics Physician
- Shepherdsville, KY
- NPI 1730326109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1407684152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 S 4TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402033205",
"telephone_number": "502-873-4472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 CEDAR GROVE RD STE 20",
"city": "SHEPHERDSVILLE",
"state": "KY",
"postal_code": "401658592",
"telephone_number": "502-215-5090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BICKETT",
"first_name": "TIFFANY",
"middle_name": "ANN",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-24",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shepherdsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.