Individual provider Active NPI

Kathy Ruth Tiffany, M.S., LPC

  • Mental Health Counselor
  • Sheridan, WY
National Provider Identifier
1578894960
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-1125 Issued in WY
Practice address
45 E Loucks St Ste 45
Sheridan, WY 82801-6339
Phone
(307) 675-8105
Fax
(307) 675-8105
NPI assigned
Jan 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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 LPC-1125 WY Primary

Addresses

Primary practice location

45 E Loucks St Ste 45
Sheridan, WY 82801-6339

Mailing address

1984 Papago Dr
Sheridan, WY 82801-5814
Phone (307) 674-7558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240304001173 WY Practitioner - Mental Health Counselor 6507201217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Big Horn Psychological Services LCGroup PAC ID 3375788839, 6 clinicians

Practice addresses (Care Compare)

909 Long Dr
Suite a
Sheridan, WY 82801-3282
Phone (307) 675-1805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Big Horn Psychological Services LC CurrentSince Jan 22, 2024 Accepting new patients
Lisa McDuffie Psychiatry LLC CurrentSince Jan 22, 2024 Accepting new patients

Locations

909 Long Dr
Ste A
Sheridan, WY 82801
Phone (307) 673-0126

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1578894960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1984 PAPAGO DR",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015814",
            "telephone_number": "307-674-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E LOUCKS ST STE 45",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016339",
            "telephone_number": "307-675-8105",
            "fax_number": "307-675-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIFFANY",
        "first_name": "KATHY",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "M.S., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-25",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "LPC-1125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.