Individual provider Active NPI

Tiffany Tufford, LPC

  • Professional Counselor
  • Kennesaw, GA
National Provider Identifier
1427326057
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC007587 Issued in GA
Practice address
2985 Cherokee St NW
Kennesaw, GA 30144-2863
Phone
(770) 218-9005
Fax
(770) 485-8481
NPI assigned
Dec 10, 2011
Last updated
Oct 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC007587 GA Primary
Professional Counselor 101YP2500X APC002758 GA

Addresses

Primary practice location

2985 Cherokee St NW
Kennesaw, GA 30144-2863

Mailing address

2985 Cherokee St NW
Kennesaw, GA 30144-2863
Phone (770) 218-9005

Other names 1

  • Tiffany Kingsfield Former name

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
I20240531001998 GA Practitioner - Mental Health Counselor 9234571571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1690 Stone Village LN NW
Suite 602
Kennesaw, GA 30152-7777
Phone (770) 954-8127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APC002758GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Counseling Associates, LLC CurrentSince Apr 17, 2024 Accepting new patients

Locations

1690 Stone Village Ln NW
Ste 602
Kennesaw, GA 30152
Phone (770) 218-9005

2985 Cherokee St NW
Kennesaw, GA 30144
Phone (770) 218-9005

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": "1323475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1427326057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2985 CHEROKEE ST NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442863",
            "telephone_number": "770-218-9005",
            "fax_number": "770-485-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2985 CHEROKEE ST NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442863",
            "telephone_number": "770-218-9005",
            "fax_number": "770-485-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUFFORD",
        "first_name": "TIFFANY",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-10",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007587",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC002758",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "KINGSFIELD",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.