Courtney Tiller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

36873 Issued in ID

Practice address

1744 S Val Vista Dr # 5-214
Mesa, AZ 85204-7362

Phone

(602) 633-4864

NPI assigned

Oct 28, 2016

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

• Courtney Stevenson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Beckstein Behavioral Health PLLC

  • Professional Counselor
  • Mesa, AZ
  • NPI 1770184400
  NPD (past)

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1609328327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 N BALBOA",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852056875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 S VAL VISTA DR # 5-214",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047362",
            "telephone_number": "602-633-4864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3324 W Elder St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837054713",
            "country_code": "US",
            "telephone_number": "208-333-0008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLER",
        "first_name": "COURTNEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-28",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "36873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "STEVENSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Tiffany
• Tatum Tignor
• Tilda Manor
• Tilda Manor, Inc
• Sean Anufe Tili
• Whitney A Tillery, PHARMD
• Linda Seale Tiltman, AU.D.
• Time for Comfort, PLLC
• Time for Health LLC
• Kristin Timm, CCC-SLP

• Clinical Social Worker in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.