Active NPI
Tiffany Wilson
- Professional Counselor
- Houston, TX
National Provider Identifier
1528454840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 69014
- Practice address
- 15714 Bannowsky LN
Houston, TX 77049-1163 - Phone
- (713) 724-6840
- NPI assigned
- Apr 13, 2015
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 69014 | TX | Primary |
Addresses
Primary practice location
15714 Bannowsky LN
Houston, TX 77049-1163
Mailing address
15714 Bannowsky LN
Houston, TX 77049-1163
Phone (713) 724-6840
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
| License | State | Type | Specialty |
|---|---|---|---|
| 69014 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428883200000",
"number": "1528454840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15714 BANNOWSKY LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770491163",
"telephone_number": "713-724-6840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15714 BANNOWSKY LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770491163",
"telephone_number": "713-724-6840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "TIFFANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-13",
"last_updated": "2015-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "69014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.