Active NPI
Bryni Tiggs, MA, LPC CANDIDATE
- Counselor
- Edmond, OK
National Provider Identifier
1619734084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPCCANDIDATE12061
- Practice address
- 13707 Fairhill Ave
Edmond, OK 73013-1946 - Phone
- (405) 607-4041
- Fax
- (405) 463-0090
- NPI assigned
- Mar 4, 2024
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPCCANDIDATE12061 | OK | Primary |
Addresses
Primary practice location
13707 Fairhill Ave
Edmond, OK 73013-1946
Mailing address
13707 Fairhill Ave
Edmond, OK 73013-1946
Phone (405) 607-4041
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCCANDIDATE12061 | OK | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Professional Counseling LLC | Current | Accepting new patients | |
| Pathways Medical LLC | Current | Accepting new patients |
Locations
13707 Fairhill Ave
Edmond, OK 73013
Phone (405) 412-3494
Interoperability endpoints
- https://api.platform.athenahealth.com/13010/brand/1/csg/1/fhir/r4
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.
-
- Primary Care Clinic/Center
- Edmond, OK
- NPI 1194185090
-
- Community/Behavioral Health Agency
- Oklahoma City, OK
- NPI 1043392558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1619734084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13707 FAIRHILL AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730131946",
"telephone_number": "405-607-4041",
"fax_number": "405-463-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13707 FAIRHILL AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730131946",
"telephone_number": "405-607-4041",
"fax_number": "405-463-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIGGS",
"first_name": "BRYNI",
"credential": "MA, LPC CANDIDATE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-04",
"last_updated": "2024-03-04",
"certification_date": "2024-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "LPCCANDIDATE12061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.