Tiffany Cutrone, LCMHC, LPC, LCAS
Individual provider Active NPI Professional Counselor · Swansboro, NC
NPI 1467955161 · NPPES record last updated Sep 19, 2022
Key facts
- NPI
- 1467955161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- A13771 (NC)
- Practice address
- 332 Catamaran Rd
Swansboro, NC 28584-2505 - Phone
- (631) 860-1168
- NPI assigned
- Mar 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A13771 | NC | MD | Professional Counselor |
| 0701011682 | VA | MD | Professional Counselor |
| 13771 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rising Tide Counseling, PLLC | Mental Health | Current |
Accepting new patients |
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
Locations
825 Gum Branch Rd
Ste 138H
Jacksonville, NC 28540
Phone (910) 356-6550
Interoperability endpoints
- tiffanycutronescales@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701011682 | VA | |
| Mental Health Counselor | 101YM0800X | 13771 | NC | |
| Professional Counselor | 101YP2500X | 0701011682 | VA | |
| Professional Counselor | 101YP2500X | A13771 | NC | Yes |
Addresses
Primary practice location
332 Catamaran Rd
Swansboro, NC 28584-2505
Mailing address
825 Gum Branch Rd Ste 138H
Jacksonville, NC 28540-6262
Phone (910) 356-6550
Other providers in Swansboro, NC
- Teresa Gail Conley
- Savannah Corey
- Craig R Brown, DMD, PA
- Harold Thomas Crites
- Crystal Coast Counseling, PLLC
- CVC Home Medical, Inc.
- Jennifer Bennett Davis
- Jacqueline Devar
- Jasen E. Dippel
- Katie Marie Drexler
All providers in Swansboro, NC · Professional Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.