NPIMap

Individual provider Active NPI

Tiffany Jean Krumm, L.P.C.

  • Professional Counselor
  • Eagle, ID
National Provider Identifier
1720348097
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-4758 Issued in ID
Practice address
1032 S Bridge Way PL
Eagle, ID 83616-6099
Phone
(208) 475-0800
Fax
(208) 246-0125
NPI assigned
May 21, 2012
Last updated
May 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC-4758 ID
Mental Health Counselor 101YM0800X LPC-4758 ID
Professional Counselor 101YP2500X LPC-4758 ID Primary
School Counselor 101YS0200X LPC-4758 ID

Addresses

Primary practice location

1032 S Bridge Way PL
Eagle, ID 83616-6099

Mailing address

1032 S Bridge Way PL
Eagle, ID 83616-6099
Phone (208) 475-0800

Other names 1

  • Ms. Tiffany Jean Billington Former name

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
LPC-4758IDMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeway Health Services, LLC Past 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, 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": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1720348097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 S BRIDGE WAY PL",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166099",
            "telephone_number": "208-475-0800",
            "fax_number": "208-246-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 S BRIDGE WAY PL",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166099",
            "telephone_number": "208-475-0800",
            "fax_number": "208-246-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMM",
        "first_name": "TIFFANY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LPC-4758",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-4758",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-4758",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "ID",
            "license": "LPC-4758",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "BILLINGTON",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.