Active NPI
Tiffany Carpenter, LPC-A
- Professional Counselor
- Tyler, TX
National Provider Identifier
1457019846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 85762
- Practice address
- PO Box 6224
Tyler, TX 75711-6224 - Phone
- (903) 483-5351
- NPI assigned
- Dec 2, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 85762 | TX | Primary |
Addresses
Primary practice location
PO Box 6224
Tyler, TX 75711-6224
Mailing address
PO Box 6224
Tyler, TX 75711-6224
Phone (903) 483-5351
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | tyler | ||
| CONNECT URL | Tyler |
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 |
|---|---|---|---|
| 85762 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Counseling Centers of East Texas | Professional | Past | 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.
-
- Professional Counselor
- Tyler, TX
- NPI 1649554676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747872000000",
"number": "1457019846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6224",
"city": "TYLER",
"state": "TX",
"postal_code": "757116224",
"telephone_number": "903-483-5351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 6224",
"city": "TYLER",
"state": "TX",
"postal_code": "757116224",
"telephone_number": "903-483-5351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "TIFFANY",
"credential": "LPC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-02",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "85762",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "tyler",
"affiliation": "N",
"address_1": "218 N College Ave",
"city": "Tyler",
"state": "TX",
"country_code": "US",
"postal_code": "757025715",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Tyler",
"affiliation": "N",
"address_1": "PO Box 6224",
"city": "Tyler",
"state": "TX",
"country_code": "US",
"postal_code": "757116224",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.