Tiffany Dawn Herndon

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

75431 Issued in TX

Practice address

504 Texas St
Copperas Cove, TX 76522-8807

Phone

(561) 779-1908

NPI assigned

Sep 27, 2017

Sex

Female

Sole proprietor

Yes

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

Enrolled in OK

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

Specialty

Marriage and Family Therapist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• T Herndon Counseling LLC

  • Professional Counselor
  • Harker Heights, TX
  • NPI 1013502228

  OK, Single Specialty

  Medicare reassignment NPD Authorized official
• Frontline Ready LLC

  • Marriage & Family Therapist
  • Stillwater, OK
  • NPI 1912853854

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506470400000",
    "number": "1508375148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 TEXAS ST",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765228807",
            "telephone_number": "561-779-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 TEXAS ST",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765228807",
            "telephone_number": "561-779-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "TIFFANY",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2017-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "75431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Willie Harrison, LPC
• Karen P. Harrison, M.D.
• Raymond J. Harrison, M.D.
• Erie Joseph Hebert III, MSW, LCDC
• Jane Hebert
• Highland Lakes Behavioral Medicine, PLLC
• Carol L Hite
• Joyce A Hohner, RN, CNS, PMH
• Horizon Mobility and Medical LLC
• House of Inspiration Residential Services LLC

• Mental Health Counselor in Copperas Cove, TX
• Providers in Copperas Cove, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.