Active NPI
Tiffany Combs, LPCC
- In Home Supportive Care Agency
- Xenia, OH
National Provider Identifier
1548430127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 452 W Market St
Xenia, OH 45385-2815 - Phone
- (937) 376-8700
- NPI assigned
- Mar 10, 2008
- Last updated
- Oct 20, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E0003942 SUPV | OH | |
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
452 W Market St
Xenia, OH 45385-2815
Mailing address
123 Creamer Dr
Cedarville, OH 45314-8506
Phone (937) 999-8257
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 |
|---|---|---|---|
| E0003942 SUPV | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1548430127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 CREAMER DR",
"city": "CEDARVILLE",
"state": "OH",
"postal_code": "453148506",
"telephone_number": "937-999-8257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "452 W MARKET ST",
"city": "XENIA",
"state": "OH",
"postal_code": "453852815",
"telephone_number": "937-376-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMBS",
"first_name": "TIFFANY",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-10",
"last_updated": "2020-10-20",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E0003942 SUPV",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Xenia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.