Active NPI
Tiffany Reves, LPC-S
- Mental Health Counselor
- Frisco, TX
National Provider Identifier
1700026176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 61531
- Practice address
- 4645 Wyndham LN Ste 240
Frisco, TX 75033-0025 - Phone
- (214) 764-3833
- NPI assigned
- Feb 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 61531 | TX | |
| Mental Health Counselor | 101YM0800X | 61531 | TX | Primary |
Addresses
Primary practice location
4645 Wyndham LN Ste 240
Frisco, TX 75033-0025
Mailing address
4645 Wyndham LN Ste 240
Frisco, TX 75033-0025
Phone (214) 764-3833
Other names 1
- Tiffany Nierdieck
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61531 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sisters Therapy LLC | Mental Health | Current | Accepting new patients |
Locations
4645 Wyndham Ln
Ste 240
Frisco, TX 75033
Phone (214) 764-3833
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1700026176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4645 WYNDHAM LN STE 240",
"city": "FRISCO",
"state": "TX",
"postal_code": "750330025",
"telephone_number": "214-764-3833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4645 WYNDHAM LN STE 240",
"city": "FRISCO",
"state": "TX",
"postal_code": "750330025",
"telephone_number": "214-764-3833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REVES",
"first_name": "TIFFANY",
"credential": "LPC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-25",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "61531",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "61531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "NIERDIECK",
"credential": "LPC-S",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.