Active NPI
Tiffany Marie Dancer
- Counselor
- Sherman, TX
National Provider Identifier
1578865606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 65121
- Practice address
- 115 S Travis St # 309
Sherman, TX 75090-5990 - Phone
- (903) 821-8873
- NPI assigned
- Nov 22, 2010
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 65121 | TX | Primary |
Addresses
Primary practice location
115 S Travis St # 309
Sherman, TX 75090-5990
Mailing address
1417 Blanton PL
Sherman, TX 75092-5313
Phone (903) 821-8873
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 |
|---|---|---|---|
| 65121 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1578865606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 BLANTON PL",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750925313",
"telephone_number": "903-821-8873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 S TRAVIS ST # 309",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750905990",
"telephone_number": "903-821-8873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANCER",
"first_name": "TIFFANY",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-22",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "65121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.