Individual provider Active NPI

Tiffany Elizabeth White, LPC

  • Professional Counselor
  • Amity, AR
National Provider Identifier
1467969824
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2008065 Issued in AR
Practice address
311 North Main Street
Amity, AR 71921-9126
Phone
(870) 997-0960
NPI assigned
Jan 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A1805057 AR
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X P2008065 AR Primary

Addresses

Primary practice location

311 North Main Street
Amity, AR 71921-9126

Mailing address

1616 Highway 70 E
Glenwood, AR 71943-8735
Phone (870) 997-0960

Other practice location 1

200 Immanual St
Nashville, AR 71852-3937
Phone (870) 845-3262

Other practice location 2

1000 N 8th St
Nashville, AR 71852-3607
Phone (870) 845-3818

Other practice location 3

1201 N 8th St
Nashville, AR 71852-3612
Phone (870) 845-3510

Other practice location 4

637 Highway 8 E
Amity, AR 71921-8510
Phone (870) 997-0960

Other practice location 5

1301 Mount Pleasant Dr
Nashville, AR 71852
Phone (870) 845-3261

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
A1805057ARMDMental Health Counselor
P2008065ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffany White Counseling, PLLC Professional CurrentSince Oct 10, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tiffany.white.1@16721.direct.athenahealth.com

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": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1467969824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 HIGHWAY 70 E",
            "city": "GLENWOOD",
            "state": "AR",
            "postal_code": "719438735",
            "telephone_number": "870-997-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NORTH MAIN STREET",
            "city": "AMITY",
            "state": "AR",
            "postal_code": "719219126",
            "telephone_number": "870-997-0960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Immanual St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "AR",
            "postal_code": "718523937",
            "country_code": "US",
            "telephone_number": "870-845-3262",
            "fax_number": "870-845-3026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N 8th St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "AR",
            "postal_code": "718523607",
            "country_code": "US",
            "telephone_number": "870-845-3818",
            "fax_number": "870-845-7344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 N 8th St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "AR",
            "postal_code": "718523612",
            "country_code": "US",
            "telephone_number": "870-845-3510",
            "fax_number": "870-845-7311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "637 Highway 8 E",
            "address_purpose": "LOCATION",
            "city": "Amity",
            "state": "AR",
            "postal_code": "719218510",
            "country_code": "US",
            "telephone_number": "870-997-0960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Mount Pleasant Dr",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "AR",
            "postal_code": "71852",
            "country_code": "US",
            "telephone_number": "870-845-3261",
            "fax_number": "870-845-7345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TIFFANY",
        "middle_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1805057",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2008065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amity, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.