Tiffany Frazier

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

117690 Issued in CA

Practice address

1650 S Amphlett Blvd Ste 113
San Mateo, CA 94402-2514

Phone

(650) 822-7973

NPI assigned

Jul 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• YMCA of San Francisco

  • Community/Behavioral Health Agency
  • San Mateo, CA
  • NPI 1316084072
  NPD (past)
• Young Men'S Christian Association of San Francisco

  • Community/Behavioral Health Agency
  • San Francisco, CA
  • NPI 1366512493
  NPD (past)

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1689152001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 S AMPHLETT BLVD STE 113",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022514",
            "telephone_number": "650-822-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 S AMPHLETT BLVD STE 113",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022514",
            "telephone_number": "650-822-7973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1426 Fillmore Street, Suite 216",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94115",
            "country_code": "US",
            "telephone_number": "415-561-0631",
            "fax_number": "415-563-8017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "117690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela L. Fraser
• Marcy Fraser, RN
• Lynda Frattaroli
• Alejandra Frausto
• Bianca Frausto
• Karen Frechete
• Fred Finch Youth Center
• Gabriel Sean Frederick
• Susan Freeburg, D.C.
• Arthur Freedman, MD

• All providers in San Mateo, CA
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.