Individual provider Active NPI

Tiffany Ann Leone-Vespa, PSY.D, LPC

  • Professional Counselor
  • Vineland, NJ
National Provider Identifier
1689908865
Registry record updated Feb 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00365600 Issued in NJ
Practice address
663 N Main Rd
Vineland, NJ 08360-8204
Phone
(215) 500-4924
NPI assigned
Sep 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X PC004103 PA
Professional Counselor 101YP2500X 37PC00365600 NJ Primary

Addresses

Primary practice location

663 N Main Rd
Vineland, NJ 08360-8204

Mailing address

3817 Nathan LN
Vineland, NJ 08361-7003

Other practice location 1

128 Crest Haven Rd
Cape May Court House, NJ 08210-1651
Phone (609) 466-5410

Other practice location 2

140 S Broadway
Pitman, NJ 08071-2235
Phone (215) 500-4924

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
37PC00365600NJMDProfessional Counselor
PC004103PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transformation Counseling and Assessment Center Professional CurrentSince Jan 26, 2020 Accepting new patients

Locations

140 S Broadway
Pitman, NJ 08071
Phone (215) 500-4924

663 N Main Rd
Vineland, NJ 08360
Phone (215) 500-4924

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": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582416000000",
    "number": "1689908865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 NATHAN LN",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 N MAIN RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608204",
            "telephone_number": "215-500-4924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 Crest Haven Rd",
            "address_purpose": "LOCATION",
            "city": "Cape May Court House",
            "state": "NJ",
            "postal_code": "082101651",
            "country_code": "US",
            "telephone_number": "609-466-5410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Pitman",
            "state": "NJ",
            "postal_code": "080712235",
            "country_code": "US",
            "telephone_number": "215-500-4924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONE-VESPA",
        "first_name": "TIFFANY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSY.D, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2020-02-23",
        "certification_date": "2020-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004103",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00365600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.