Active NPI
Tiffany Farrar, LPCC
- Professional Counselor
- Saint Paul, MN
National Provider Identifier
1427463553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC01415
- Practice address
- 2265 Como Ave
Saint Paul, MN 55108 - Phone
- (651) 645-5323
- Fax
- (651) 379-6105
- NPI assigned
- Jun 27, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH 60590230 | WA | |
| Professional Counselor | 101YP2500X | LPC-4850 | ID | |
| Professional Counselor | 101YP2500X | CC01415 | MN | Primary |
Addresses
Primary practice location
2265 Como Ave
Saint Paul, MN 55108
Mailing address
2265 Como Ave
Saint Paul, MN 55108-1737
Phone (888) 364-5977
Other practice location 1
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-4580
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH 60590230 | WA | MD | Mental Health Counselor |
| LPC-4850 | ID | MD | Professional Counselor |
| CC01415 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Confluence Counseling LLC | Professional | Current | Accepting new patients |
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": "1403827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527292800000",
"number": "1427463553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2265 COMO AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551081737",
"telephone_number": "888-364-5977",
"fax_number": "651-379-6141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2265 COMO AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "55108",
"telephone_number": "651-645-5323",
"fax_number": "651-379-6105"
}
],
"practiceLocations": [
{
"address_1": "2925 Chicago Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554071321",
"country_code": "US",
"telephone_number": "612-262-4580",
"fax_number": "612-262-4258",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARRAR",
"first_name": "TIFFANY",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-27",
"last_updated": "2018-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH 60590230",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LPC-4850",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC01415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.