Individual provider Active NPI

Marie Tiffany, LCSW

  • Mental Health Counselor
  • Pittsfield, MA
National Provider Identifier
1487985339
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
218092 Issued in MA
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

Updated by the provider on Feb 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
218092MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical & Support Options, Inc CurrentSince Jan 11, 2010 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Mar 7, 2020 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Mar 7, 2020 Accepting new patients
Tiffany Therapy, LLC Current Accepting new patients
Clinical and Support Options PastSince Jan 11, 2010 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.

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

Verify at the official NPI Registry.