Active NPI
Marie Tiffany, LCSW
- Mental Health Counselor
- Pittsfield, MA
National Provider Identifier
1487985339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 218092
- Practice address
- 877 South St.
1 St Floor
Pittsfield, MA 01201-4714 - Phone
- (413) 236-5656
- Fax
- (413) 499-6572
- NPI assigned
- Jan 15, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 218092 | MA | Primary |
Addresses
Primary practice location
877 South St.
1 St Floor
Pittsfield, MA 01201-4714
Mailing address
877 South St.
1 St Floor
Pittsfield, MA 01201-4714
Phone (413) 236-5656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218092 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical & Support Options, Inc | Current | Accepting new patients | |
| Berkshire Medical Center, Inc | Current | Accepting new patients | |
| Berkshire Medical Center Inc. | Current | Accepting new patients | |
| Tiffany Therapy, LLC | Current | Accepting new patients | |
| Clinical and Support Options | Past | Accepting new patients |
Locations
1 Arch Pl
Greenfield, MA 01301
Phone (413) 773-1000
877 South St
Ste 200
Pittsfield, MA 01201
Phone (413) 269-5656
725 North St
Pittsfield, MA 01201
Phone (413) 447-2839
Organizations & group practices 5
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.
-
- Clinical Social Worker
- Pittsfield, MA
- NPI 1558952754
-
- Community/Retail Pharmacy
- North Adams, MA
- NPI 1932649753
-
- General Acute Care Hospital
- Pittsfield, MA
- NPI 1295765261
-
- Community/Behavioral Health Agency
- Greenfield, MA
- NPI 1831265115
-
- Community/Behavioral Health Agency
- Pittsfield, MA
- NPI 1386066579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360713600000",
"number": "1487985339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "877 SOUTH ST.",
"address_2": "1 ST FLOOR",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012014714",
"telephone_number": "413-236-5656",
"fax_number": "413-499-6572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "877 SOUTH ST.",
"address_2": "1 ST FLOOR",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012014714",
"telephone_number": "413-236-5656",
"fax_number": "413-499-6572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIFFANY",
"first_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-15",
"last_updated": "2013-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "218092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.