Active NPI
Tiffany Kaye Carpenter, L.C.S.W.
- Clinical Social Worker
- Amarillo, TX
National Provider Identifier
1609010982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 50518-170774
- Practice address
- 6010 W Amarillo Blvd
BLDG 45
Amarillo, TX 79106-1990 - Phone
- (806) 355-9703
- NPI assigned
- Apr 30, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 50518-170774 | TX | Primary |
Addresses
Primary practice location
6010 W Amarillo Blvd
BLDG 45
Amarillo, TX 79106-1990
Mailing address
4200 Ridgecrest Cir Ste a-6
Amarillo, TX 79109-5416
Phone (806) 282-5106
Other names 1
- Ms. Tiffany Kaye Carothers
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 |
|---|---|---|---|
| 50518-170774 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amarillo Professional Counseling and Consultation PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- Amarillo, TX
- NPI 1518401041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1609010982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 RIDGECREST CIR STE A-6",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791095416",
"telephone_number": "806-282-5106",
"fax_number": "888-393-2231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6010 W AMARILLO BLVD",
"address_2": "BLDG 45",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061990",
"telephone_number": "806-355-9703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "TIFFANY",
"middle_name": "KAYE",
"name_prefix": "Mrs.",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-30",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "50518-170774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "CAROTHERS",
"middle_name": "KAYE",
"prefix": "MS.",
"credential": "L.M.S.W.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.