Tiffani Wade, LPC, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

17586 Issued in AZ

Practice address

3295 W Ina Rd Ste 125
Tucson, AZ 85741-2195

Phone

(520) 257-1168

NPI assigned

Feb 25, 2019

Last updated

Feb 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Statt Counseling Services, PLLC

  dba Affinity Counseling Center

  • Professional Counselor
  • Tucson, AZ
  • NPI 1922542174
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1467919589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8250 E GOLF LINKS RD APT 179",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857301266",
            "telephone_number": "310-351-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 W INA RD STE 125",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412195",
            "telephone_number": "520-257-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "TIFFANI",
        "credential": "LPC, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "559",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "17586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Wacker, RBT
• Jenna Rose Wade
• Lana Gayle Wade, OD
• Natalie Christine Wade, PA-C
• Taylor J. Wade, MS,LAT, ATC
• Rita Wadeea, MBCHB
• Erin Michelle Wadleigh, PT
• John Martin Wadleigh, D.O.
• Amy Wagelie Steffen, M.D.
• Jaclyn Waggoner

• Mental Health Counselor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.

Verify at the official NPI Registry.