Active NPI
Linda RF Tiffany, LCPC, LADC
- Mental Health Counselor
- Portland, ME
National Provider Identifier
1619152162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CC2299
- Practice address
- 57 Exchange St
Suite 402
Portland, ME 04101-5000 - Phone
- (207) 619-3161
- NPI assigned
- Jan 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC3618 | ME | |
| Mental Health Counselor | 101YM0800X | CC2299 | ME | Primary |
Addresses
Primary practice location
57 Exchange St
Suite 402
Portland, ME 04101-5000
Mailing address
57 Exchange St
Suite 402
Portland, ME 04101-5000
Phone (207) 619-3161
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 |
|---|---|---|---|
| LC3618 | ME | MD | Addiction (Substance Use Disorder) Counselor |
| CC2299 | ME | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LT Counseling, LLC | Mental Health | Current | Accepting new patients |
Locations
98 Maine St
Ste 11A
Brunswick, ME 04011
Phone (207) 619-3161
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286323200000",
"number": "1619152162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 EXCHANGE ST",
"address_2": "SUITE 402",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041015000",
"telephone_number": "207-619-3161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 EXCHANGE ST",
"address_2": "SUITE 402",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041015000",
"telephone_number": "207-619-3161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIFFANY",
"first_name": "LINDA",
"middle_name": "RF",
"credential": "LCPC, LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-03",
"last_updated": "2010-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "LC3618",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ME",
"license": "CC2299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.