Individual provider Active NPI

Tiffany Rose Arkwright, MFT

  • Marriage & Family Therapist
  • Pooler, GA
National Provider Identifier
1447727482
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001480 Issued in GA
Practice address
205 S Skinner Ave Unit B
Pooler, GA 31322-3221
Phone
(912) 349-8043
NPI assigned
Oct 29, 2018
Last updated
Oct 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT001480 GA Primary

Addresses

Primary practice location

205 S Skinner Ave Unit B
Pooler, GA 31322-3221

Mailing address

205 S Skinner Ave # Uniteb
Pooler, GA 31322-3221
Phone (912) 349-8043

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT001480GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Building Blocks Family Counseling Marriage & Family Therapist Past Accepting new patients
Moore Counseling and Consulting Services, LLC. Marriage & Family Therapist Past Accepting new patients

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, 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": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1447727482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S SKINNER AVE # UNITEB",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313223221",
            "telephone_number": "912-349-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S SKINNER AVE UNIT B",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313223221",
            "telephone_number": "912-349-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARKWRIGHT",
        "first_name": "TIFFANY",
        "middle_name": "ROSE",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.