Tiffany Mary Chesnut, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4018 Issued in AL

Practice address

1034 23Rd St S Ste 202
Birmingham, AL 35205-2462

Phone

(205) 876-7791

NPI assigned

Jan 26, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tiffany M Moore Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Chesnut Counseling Service LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Birmingham, AL
  • NPI 1790407518
  NPD Authorized official
• Centerstone of Tennessee, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manhattan, KS
  • NPI 1023900651
  NPD (past)
• Centerstone of Tennessee, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nashville, TN
  • NPI 1396767430
  NPD (past)

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

{
    "created_epoch": "1548460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663459200000",
    "number": "1588128367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 ALISA WAY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352435321",
            "telephone_number": "205-901-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 23RD ST S STE 202",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052462",
            "telephone_number": "205-876-7791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3005 Alisa Way",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352435321",
            "country_code": "US",
            "telephone_number": "205-901-6353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Ramsey Way",
            "address_purpose": "LOCATION",
            "city": "Dickson",
            "state": "TN",
            "postal_code": "370552198",
            "country_code": "US",
            "telephone_number": "615-446-3797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHESNUT",
        "first_name": "TIFFANY",
        "middle_name": "MARY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-26",
        "last_updated": "2022-09-18",
        "certification_date": "2022-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "4018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "MOORE",
            "middle_name": "M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katherine Lassiter Cherukuri, CRNP
• Christa Amie Chery
• Melissa Ann Cheslock, MS, CCC-SLP
• Elena Chesnokova
• Chesnut Counseling Service LLC
• Jonathan Paul Chesser, PHARM.D.
• Vicky Chesser, CRNP
• Anthony A Chestang Jr., MD
• Mary Kathryn Konrad Chestang, CRNP
• John Mark Chestnut, M.D.

• Mental Health Counselor in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Mental Health Counselor in Alabama

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