Tiffany Eckles

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

100 Fram Street
Petersburg, AK 99833-0433

Phone

(907) 772-4963

Fax

(907) 772-4964

NPI assigned

Feb 18, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: teckles@searhc.org

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1548915408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 433",
            "city": "PETERSBURG",
            "state": "AK",
            "postal_code": "998330433",
            "telephone_number": "907-772-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FRAM STREET",
            "city": "PETERSBURG",
            "state": "AK",
            "postal_code": "998330433",
            "telephone_number": "907-772-4963",
            "fax_number": "907-772-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKLES",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TEckles@SEARHC.Org",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Fram Street",
            "city": "Petersburg",
            "state": "AK",
            "country_code": "US",
            "postal_code": "998330433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Philip Gaither Beardslee, DMD
• Brandy Boggs
• Yvette C Boggs, R.N.
• Selina Andrea Burt, D.O.
• Stacey Reynolds Dahl, APRN, FNP-C
• Adriene Kim Fedde, MD
• Margaret D Fleming, MS,RD,LD
• Peggy Ann Floro, BA
• Amanda Galaktionoff, PT, DPT
• Paul J Haag, LMT (LICENSED MASSAG

• Mental Health Counselor in Petersburg, AK
• Providers in Petersburg, AK by specialty
• Mental Health Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.