Active NPI
Tiffany Culvert, LPC
- Professional Counselor
- Philadelphia, PA
National Provider Identifier
1457919946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC010489
- Practice address
- 1030 N American St Unit 901
Philadelphia, PA 19123-1564 - Phone
- (267) 571-5177
- NPI assigned
- May 30, 2019
- 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 | PC010489 | PA | Primary |
Addresses
Primary practice location
1030 N American St Unit 901
Philadelphia, PA 19123-1564
Mailing address
2318 E Thompson St
Philadelphia, PA 19125-3629
Phone (610) 509-5609
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC010489 | Other | PA | STATE BOARD OF SOCIAL WORKERS, MARRIAGE AND FAMILY THERAPISTS AND PROFESSIONAL C |
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 |
|---|---|---|---|
| PC010489 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1457919946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2318 E THOMPSON ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191253629",
"telephone_number": "610-509-5609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 N AMERICAN ST UNIT 901",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191231564",
"telephone_number": "267-571-5177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULVERT",
"first_name": "TIFFANY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-30",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC010489",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF SOCIAL WORKERS, MARRIAGE AND FAMILY THERAPISTS AND PROFESSIONAL C",
"identifier": "PC010489",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.