Tiffany Marie Gormany, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A1309105 Issued in AR

Practice address

120 Meghan LN
Judsonia, AR 72081-9302

Phone

(866) 729-4479

Fax

(501) 729-3537

NPI assigned

Oct 2, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Capstone Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Judsonia, AR
  • NPI 1528274552
  NPD (past)

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1477980746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8241",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721458241",
            "telephone_number": "866-729-4479",
            "fax_number": "501-729-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MEGHAN LN",
            "city": "JUDSONIA",
            "state": "AR",
            "postal_code": "720819302",
            "telephone_number": "866-729-4479",
            "fax_number": "501-729-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMANY",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1309105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Every Season Women'S and Girls Counseling
• Shanna M. Fisher, M.S., CCC-SLP
• Rachel Foote, LAC
• Matthew Foster
• Megan Nicole Glaze, M.S.
• Mandy K Hall
• Zachary Haugh
• William Adrian Hickmon, PH.D.
• Taylor Holsonback
• Jordan Terry Howard, LPC

• Mental Health Counselor in Judsonia, AR
• Providers in Judsonia, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.