Individual provider Active NPI

Tiffinee Sherquanda Singletary, PH.D

  • Mental Health Counselor
  • Suffolk, VA
National Provider Identifier
1588915672
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701005266 Issued in VA
Practice address
4897 Bennetts Pasture Rd #5354
Suffolk, VA 23435-0354
Phone
(888) 663-2475
Fax
(888) 663-2475
NPI assigned
Sep 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701005266 VA
Mental Health Counselor 101YM0800X 0701005266 VA Primary

Addresses

Primary practice location

4897 Bennetts Pasture Rd #5354
Suffolk, VA 23435-0354

Mailing address

4897 Bennetts Pasture Rd #5354
Suffolk, VA 23435-0354
Phone (888) 663-2475

Other names 1

  • Dr. Tiffinee Yancey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240430003126 VA Practitioner - Mental Health Counselor 2860832474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
From the Desk of Dr. Yancey LLCGroup PAC ID 0042650657, 4 clinicians

Practice addresses (Care Compare)

4897 Bennetts Pasture Rd
Unit 5354
Suffolk, VA 23435-1362
Phone (888) 663-2475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
From the Desk of Dr. Yancey LLC Mental Health CurrentSince Oct 1, 2017 Accepting new patients
KJLN Inc. Past Accepting new patients

Locations

4897 Bennetts Pasture Rd
Unit 5354
Suffolk, VA 23435
Phone (757) 589-7230

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": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1588915672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4897 BENNETTS PASTURE RD #5354",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234350354",
            "telephone_number": "888-663-2475",
            "fax_number": "888-663-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4897 BENNETTS PASTURE RD #5354",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234350354",
            "telephone_number": "888-663-2475",
            "fax_number": "888-663-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGLETARY",
        "first_name": "TIFFINEE",
        "middle_name": "SHERQUANDA",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-28",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005266",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701005266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFINEE",
            "last_name": "YANCEY",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.