Active NPI
Tiffany McBride, M.A., LPC
- Professional Counselor
- Bloomington, IL
National Provider Identifier
1700145026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.008174
- Practice address
- 108 W Market St
Bloomington, IL 61701-3918 - Phone
- (309) 827-5351
- NPI assigned
- May 7, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 178.008174 | IL | Primary |
Addresses
Primary practice location
108 W Market St
Bloomington, IL 61701-3918
Mailing address
108 W Market St
Bloomington, IL 61701-3918
Phone (309) 827-5351
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.008174 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tiffany McBride | Professional | Current | Accepting new patients |
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": "1336348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407110400000",
"number": "1700145026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 W MARKET ST",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617013918",
"telephone_number": "309-827-5351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 W MARKET ST",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617013918",
"telephone_number": "309-827-5351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "TIFFANY",
"credential": "M.A., LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-07",
"last_updated": "2014-08-04",
"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": "IL",
"license": "178.008174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.