Active NPI
Tiffany Ross, MA, LPC
- Professional Counselor
- Prosper, TX
National Provider Identifier
1457133050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 84294
- Practice address
- 805 E 1St St
Prosper, TX 75078-2919 - Phone
- (469) 481-6965
- Fax
- (469) 481-6938
- NPI assigned
- Oct 18, 2023
- Last updated
- Oct 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 84294 | TX | Primary |
Addresses
Primary practice location
805 E 1St St
Prosper, TX 75078-2919
Mailing address
805 E 1St St
Prosper, TX 75078-2919
Phone (469) 481-6965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 20, 2024 through Apr 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84294 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1457133050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 E 1ST ST",
"city": "PROSPER",
"state": "TX",
"postal_code": "750782919",
"telephone_number": "469-481-6965",
"fax_number": "469-481-6938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 E 1ST ST",
"city": "PROSPER",
"state": "TX",
"postal_code": "750782919",
"telephone_number": "469-481-6965",
"fax_number": "469-481-6938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "TIFFANY",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-18",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "84294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prosper, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.