Tiffany Jacqueline Irizarry, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8129 Issued in SC

Practice address

42 Dudley Ave
Okatie, SC 29909-6304

Phone

(609) 462-9272

NPI assigned

Apr 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Tiffany Jacqueline Mandl Former name

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bluffton Okatie Counseling Center LLCGroup PAC ID 4880956408, 9 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Bluffton Okatie Counseling Center, LLC

  • Clinical Social Worker
  • Ridgeland, SC
  • NPI 1225544562

  Professional, SC

  Medicare reassignment Care Compare group NPD
• South Carolina Online Counseling and Group Therapy, LLC

  • Professional Counselor
  • Ridgeland, SC
  • NPI 1154928448

  Professional

  NPD

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1689294597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 DUDLEY AVE",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299096304",
            "telephone_number": "609-462-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 DUDLEY AVE",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299096304",
            "telephone_number": "609-462-9272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 Riverwalk Blvd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "SC",
            "postal_code": "299368191",
            "country_code": "US",
            "telephone_number": "843-636-5017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "TIFFANY",
        "middle_name": "JACQUELINE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00697900",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "10783",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC015076",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "MANDL",
            "middle_name": "JACQUELINE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ralph Warren Hoerner III, DPT
• Marianne Leal Holmes, APRN, FNP
• Rene Holmes, FNP
• Lindsey Houseman
• Daniel P Hughes, DDS
• Leigh Jacobs, AGPCNP
• Caryss Molly Jamison
• Jeffery M Reuben, MD PA
• Jeffery M. Reuben, MD PA
• Scott Anthony Kathmann, DPT, STC

• All providers in Okatie, SC
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.