Individual provider Active NPI

Tiffany Cornelis, CPC-I

  • Counselor
  • Las Vegas, NV
National Provider Identifier
1457094294
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CI3189 Issued in NV
Practice address
8414 Farm Rd Ste 180
Las Vegas, NV 89131-8007
Phone
(702) 861-6822
NPI assigned
Apr 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CI3189 NV Primary

Addresses

Primary practice location

8414 Farm Rd Ste 180
Las Vegas, NV 89131-8007

Mailing address

8414 Farm Rd Ste 180
Las Vegas, NV 89131-8007
Phone (702) 861-6822

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
CI3189NVMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Alternative Healing LLC Counselor CurrentSince Apr 1, 2022 Accepting new patients

Locations

8414 Farm Rd
Ste 180
Las Vegas, NV 89131
Phone (702) 546-9600

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": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1457094294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8414 FARM RD STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891318007",
            "telephone_number": "702-861-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8414 FARM RD STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891318007",
            "telephone_number": "702-861-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIS",
        "first_name": "TIFFANY",
        "credential": "CPC-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NV",
            "license": "CI3189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.