NPIMap

Organization Active NPI

Tiffany Zarifkar, LMHC, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Vernon, IA
National Provider Identifier
1720516362
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
001373 Issued in IA
Legal business name
TIFFANY ZARIFKAR, LMHC, LLC
Practice address
104 2ND Ave NW
Mount Vernon, IA 52314-1301
Phone
(319) 693-2266
NPI assigned
May 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Tiffany Zarifkar, MA, LMHC, NCCNPI 1699046946
Title
Owner, Mental Health Counselor
Phone
(319) 693-2266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 001373 IA Primary

Addresses

Primary practice location

104 2ND Ave NW
Mount Vernon, IA 52314-1301

Mailing address

104 2ND Ave NW
Mount Vernon, IA 52314-1301
Phone (319) 693-2266

Other identifiers 1

IdentifierTypeStateIssuer
0707139MedicaidIA

Other names 1

  • Mount Vernon Family Counseling Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tiffany@mvfamilycounseling.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240223003609 IA Part B Supplier - Clinic/Group Practice 8224473764 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Vernon, IA

National Provider Directory

National Provider Directory

Locations

204 Glenn St SE
Ste 2
Mount Vernon, IA 52314
Phone (319) 777-1092

104 2nd Ave NW
Mount Vernon, IA 52314
Phone (319) 639-2266

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1720516362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 2ND AVE NW",
            "city": "MOUNT VERNON",
            "state": "IA",
            "postal_code": "523141301",
            "telephone_number": "319-693-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 2ND AVE NW",
            "city": "MOUNT VERNON",
            "state": "IA",
            "postal_code": "523141301",
            "telephone_number": "319-693-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY ZARIFKAR, LMHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "ZARIFKAR",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER, MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "319-693-2266",
        "authorized_official_credential": "MA, LMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IA",
            "license": "001373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0707139",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tiffany@mvfamilycounseling.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "104 2nd Ave NW",
            "city": "Mount Vernon",
            "state": "IA",
            "country_code": "US",
            "postal_code": "523141301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mount Vernon Family Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.