Individual provider Active NPI

Tiffani Manterisa Mauller, LPC

  • Mental Health Counselor
  • Charlottesville, VA
National Provider Identifier
1679236186
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704013755 Issued in VA
Practice address
100 Wilton Pasture LN Apt 302
Charlottesville, VA 22911-7624
Phone
(434) 218-0561
NPI assigned
Oct 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0704013755 VA Primary
Mental Health Counselor 101YM0800X 0701013362

Addresses

Primary practice location

100 Wilton Pasture LN Apt 302
Charlottesville, VA 22911-7624

Mailing address

100 Wilton Pasture LN Apt 302
Charlottesville, VA 22911-7624
Phone (434) 218-0561

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

LicenseStateTypeSpecialty
0704013755VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Haven for Healing Mental Health CurrentSince Apr 14, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1679236186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILTON PASTURE LN APT 302",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229117624",
            "telephone_number": "434-218-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WILTON PASTURE LN APT 302",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229117624",
            "telephone_number": "434-218-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULLER",
        "first_name": "TIFFANI",
        "middle_name": "MANTERISA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704013755",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "0701013362",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.