Individual provider Active NPI

Tiffany N Aviso, LCPC-S, QSUDP

  • Mental Health Counselor
  • Twin Falls, ID
National Provider Identifier
1518358795
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC-6771 Issued in ID
Practice address
139 River Vista PL Ste 201
Twin Falls, ID 83301-3060
Phone
(208) 423-8270
NPI assigned
Feb 10, 2015
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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 LCPC-6771 ID Primary

Addresses

Primary practice location

139 River Vista PL Ste 201
Twin Falls, ID 83301-3060

Mailing address

139 River Vista PL Ste 201
Twin Falls, ID 83301-3060
Phone (208) 423-8270

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

State licenses

LicenseStateTypeSpecialty
LCPC-6771IDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1518358795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 RIVER VISTA PL STE 201",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013060",
            "telephone_number": "208-423-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 RIVER VISTA PL STE 201",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013060",
            "telephone_number": "208-423-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVISO",
        "first_name": "TIFFANY",
        "middle_name": "N",
        "credential": "LCPC-S, QSUDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-6771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.