Active NPI
Tiffany Rose Dorsey, M.ED,LICDC
- Addiction (Substance Use Disorder) Counselor
- Leavittsburg, OH
National Provider Identifier
1487209912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LICDC.162874
- Practice address
- 5701 Burnett Rd
Leavittsburg, OH 44430-9713 - Phone
- (330) 503-4554
- NPI assigned
- Aug 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC.162874 | OH | Primary |
Addresses
Primary practice location
5701 Burnett Rd
Leavittsburg, OH 44430-9713
Mailing address
2940 Sandpiper TRL SE
Warren, OH 44484-5706
Phone (330) 503-4554
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)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LICDC.162874 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1487209912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 SANDPIPER TRL SE",
"city": "WARREN",
"state": "OH",
"postal_code": "444845706",
"telephone_number": "330-503-4554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 BURNETT RD",
"city": "LEAVITTSBURG",
"state": "OH",
"postal_code": "444309713",
"telephone_number": "330-503-4554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORSEY",
"first_name": "TIFFANY",
"middle_name": "ROSE",
"credential": "M.ED,LICDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-01",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LICDC.162874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leavittsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.