Individual provider Active NPI

Tiffany Leigh Felty, LCSW

  • Clinical Social Worker
  • Paragould, AR
National Provider Identifier
1477720951
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2444-C Issued in AR
Practice address
1101 Morgan Street
Suite 8
Paragould, AR 72450-3949
Phone
(870) 335-9483
Fax
(870) 335-9487
NPI assigned
May 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2444-C AR Primary

Addresses

Primary practice location

1101 Morgan Street
Suite 8
Paragould, AR 72450-3949

Mailing address

1815 Pleasant Grove Road
Jonesboro, AR 72401-7870
Phone (870) 933-6886

Other identifiers 2

IdentifierTypeStateIssuer
5R917OtherARBCBS
174484795MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260415000895 AR Practitioner - Clinical Social Worker 5698800183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ar Nextstep Counseling Services, LLCGroup PAC ID 1759703010, 6 clinicians

Practice addresses (Care Compare)

2315 E Matthews Ave
Jonesboro, AR 72401-4415
Phone (501) 626-8279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paragould Counseling LLC Current Accepting new patients
Paragould Counseling, LLC Current Accepting new patients
Hope & Healing of Nea PLLC Clinical PastSince Dec 1, 2020 Accepting new patients
Families, Inc. of Arkansas Past Accepting new patients
Families, Inc. of Arkansas Past Accepting new patients
Ar Nextstep Counseling Services, LLC Past Accepting new patients

Organizations & group practices 6

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": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1477720951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 PLEASANT GROVE ROAD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017870",
            "telephone_number": "870-933-6886",
            "fax_number": "870-933-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MORGAN STREET",
            "address_2": "SUITE 8",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724503949",
            "telephone_number": "870-335-9483",
            "fax_number": "870-335-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTY",
        "first_name": "TIFFANY",
        "middle_name": "LEIGH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2444-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5R917",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174484795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.