Individual provider Active NPI

Tiffany Monique Davis, LPC

  • Counselor
  • Newport News, VA
National Provider Identifier
1679900492
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0701005582 Issued in VA
Practice address
732 Thimble Shoals Blvd Ste 701
Newport News, VA 23606-4256
Phone
(757) 633-1243
NPI assigned
Oct 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701005582 VA Primary

Addresses

Primary practice location

732 Thimble Shoals Blvd Ste 701
Newport News, VA 23606-4256

Mailing address

9 Kaleigh CT
Hampton, VA 23666-5008
Phone (757) 309-7080

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heels & Hustle CurrentSince Sep 28, 2025 Accepting new patients
The Kennedy Group Outpatient LLC PastSince Dec 1, 2019 Accepting new patients
True Life Destinations Past Accepting new patients

Locations

732 Thimble Shoals Blvd
Ste 701
Newport News, VA 23606
Phone (757) 633-1243

Organizations & group practices 3

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": "1381449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1679900492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 KALEIGH CT",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665008",
            "telephone_number": "757-309-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 THIMBLE SHOALS BLVD STE 701",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064256",
            "telephone_number": "757-633-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TIFFANY",
        "middle_name": "MONIQUE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-11",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701005582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.