Individual provider Active NPI

Tiffany Skiffington, LMHC

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1437749454
Registry record updated Jan 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18302 Issued in FL
Practice address
4100 W Kennedy Blvd Ste 214
Tampa, FL 33609-2244
Phone
(813) 453-5701
NPI assigned
Jan 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2021

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 18302 FL Primary

Addresses

Primary practice location

4100 W Kennedy Blvd Ste 214
Tampa, FL 33609-2244

Mailing address

209 W Haya St
Tampa, FL 33603-2034
Phone (813) 444-3658

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://shinecounselingtampa.clientsecure.me/ Direct

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

LicenseStateTypeSpecialty
18302FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Counseling Tampa Mental Health CurrentSince Apr 10, 2022 Accepting new patients

Locations

4100 W Kennedy Blvd
Ste 214
Tampa, FL 33609
Phone (813) 375-2955

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": "1611360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611360000000",
    "number": "1437749454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W HAYA ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032034",
            "telephone_number": "813-444-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W KENNEDY BLVD STE 214",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092244",
            "telephone_number": "813-453-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIFFINGTON",
        "first_name": "TIFFANY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-23",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "18302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://shinecounselingtampa.clientsecure.me/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4100 W Kennedy Blvd Ste 214",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336092244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.