Individual provider Active NPI

Tiffany Kelly Maas, LPC

  • Professional Counselor
  • Ball Ground, GA
National Provider Identifier
1417089756
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC003684 Issued in GA
Practice address
201 Amaranth Court
Ball Ground, GA 30107
Phone
(404) 217-0879
NPI assigned
Mar 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC003684 GA Primary

Addresses

Primary practice location

201 Amaranth Court
Ball Ground, GA 30107

Mailing address

201 Amaranth Court
Ball Ground, GA 30107
Phone (404) 217-0879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20250717003632 GA Practitioner - Mental Health Counselor 2961918982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Georgia Psychological Services LLCGroup PAC ID 1850600891, 8 clinicians

Practice addresses (Care Compare)

4073 Hwy 53
Hoschton, GA 30548-2305
Phone (770) 882-5884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Psychological Services LLC CurrentSince Jun 12, 2025 Accepting new patients

Locations

4073 Highway 53
Hoschton, GA 30548
Phone (770) 882-5884

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417089756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 AMARANTH COURT",
            "city": "BALL GROUND",
            "state": "GA",
            "postal_code": "30107",
            "telephone_number": "404-217-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 AMARANTH COURT",
            "city": "BALL GROUND",
            "state": "GA",
            "postal_code": "30107",
            "telephone_number": "404-217-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAAS",
        "first_name": "TIFFANY",
        "middle_name": "KELLY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC003684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ball Ground, GA

Sources for this page

Verify at the official NPI Registry.