Active NPI
Tiara Fennell, LCMFT
- Marriage & Family Therapist
- Silver Spring, MD
National Provider Identifier
1619440633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LCM946
- Practice address
- 1133 E West Hwy Apt 1120W
Silver Spring, MD 20910-6824 - Phone
- (910) 284-7403
- NPI assigned
- Jan 3, 2019
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LCM946 | MD | Primary |
Addresses
Primary practice location
1133 E West Hwy Apt 1120W
Silver Spring, MD 20910-6824
Mailing address
1133 E West Hwy Apt 1120W
Silver Spring, MD 20910-6824
Phone (910) 284-7403
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 |
|---|---|---|---|
| LCM946 | MD | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1619440633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 E WEST HWY APT 1120W",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209106824",
"telephone_number": "910-284-7403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 E WEST HWY APT 1120W",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209106824",
"telephone_number": "910-284-7403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENNELL",
"first_name": "TIARA",
"credential": "LCMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-03",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MD",
"license": "LCM946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.