Active NPI
Tiffany Adele Parker, LPC
- Professional Counselor
- Mableton, GA
National Provider Identifier
1720357205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 006730
- Practice address
- 5459 Vinings Lake Way SW
Mableton, GA 30126-2558 - Phone
- (404) 354-7616
- NPI assigned
- Dec 29, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 006730 | GA | Primary |
Addresses
Primary practice location
5459 Vinings Lake Way SW
Mableton, GA 30126-2558
Mailing address
5459 Vinings Lake Way SW
Mableton, GA 30126-2558
Phone (404) 354-7616
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 |
|---|---|---|---|
| 006730 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667952000000",
"number": "1720357205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5459 VININGS LAKE WAY SW",
"city": "MABLETON",
"state": "GA",
"postal_code": "301262558",
"telephone_number": "404-354-7616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5459 VININGS LAKE WAY SW",
"city": "MABLETON",
"state": "GA",
"postal_code": "301262558",
"telephone_number": "404-354-7616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "TIFFANY",
"middle_name": "ADELE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-29",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "006730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mableton, GA
- Olatunde Synthia Olatunji
- Omega Transportation Services, LLC
- Ifeanyi Jake Onwuka, PHARMD
- Bernard N. Orewa, MD
- Parker Active Recovery LLC
- Christopher Parks, RPH
- Fabion Andrew Parks, P006465
- Passionate People Personal Care LLC
- Peachtree Immediate Care FP, LLC (Peachtree Immediate Care)
- Pediatric Inpatient Care Specialists, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.