Tiffany Urby

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC12759 Issued in MD

Practice address

2670 Crain Highway
Suite 501
Waldorf, MD 20601

Phone

(301) 818-0860

NPI assigned

Jun 30, 2020

Last updated

Jun 29, 2022By the provider in NPPES

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arundel Mental Health Professionals L.C.

  dba LifeStance Health

  • Clinical Psychologist
  • Arnold, MD
  • NPI 1073649521
  NPD
• Arundel Mental Health Professionals LLC

  • Clinical Psychologist
  • Crofton, MD
  • NPI 1497481246
  NPD (past)

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1689291197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 ZELMA AVE",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207433123",
            "telephone_number": "301-385-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 CRAIN HIGHWAY",
            "address_2": "SUITE 501",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "20601",
            "telephone_number": "301-818-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBY",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP10536",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC12759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Maryland Surgical Associates, PA (Office Charles Regional At Pembrooke-Plastic Surgery)
• University of Maryland Surgical Associates, PA (Office Charles Regional At Pembrooke-Surgical Oncology)
• University of Maryland Surgical Associates, PA (Office-Charles Regional at Pembrook -Transplant Surgery)
• University of Maryland Surgical Associates, PA (Office Charles Regional At Pembrooke-Cardiac Surgery)
• University of Maryland Surgical Associates, PA (Office Charles Regional At Pembrooke-Pediatric Surgery)
• Ronnie Ursin, DNP, RN
• US Physical Therapy LLC
• Ahmed Uthman
• Olucharles Ngozi Uzodinma, M.D.
• Pankaj Vaidya, MD

• Professional Counselor in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.