Active NPI
Tiffany E Sumrall, LMHC
- Mental Health Counselor
- Newton, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 110038
- Practice address
- 1123 1St Ave E Ste 200
Newton, IA 50208-3981 - Phone
- (641) 792-4012
- NPI assigned
- Aug 2, 2019
- Last updated
- Apr 10, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 110038 | IA | Primary |
Addresses
Primary practice location
1123 1St Ave E Ste 200
Newton, IA 50208-3981
Mailing address
1110 Caitlin Dr SE
Bondurant, IA 50035-2303
Phone (515) 300-6563
Other practice location 1
1220 NE Station Xing Ste 114
Grimes, IA 50111-8013
Phone (515) 380-6516
Other names 1
- Tiffany Heth
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110038 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capstone Behavioral Healthcare, Inc | Current | Accepting new patients | |
| Pink Couch Wellness | Past | Accepting new patients | |
| Poweshiek County Mental Health Center | Past | Accepting new patients |
Locations
200 4th Ave W
Grinnell, IA 50112
Phone (641) 236-6137
1123 1st Ave E
Ste 200
Newton, IA 50208
Phone (641) 792-4012
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Newton, IA
- NPI 1174598908
-
- Counselor
- Grimes, IA
- NPI 1316637275
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Grinnell, IA
- NPI 1528166360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1730734187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 CAITLIN DR SE",
"city": "BONDURANT",
"state": "IA",
"postal_code": "500352303",
"telephone_number": "515-300-6563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1123 1ST AVE E STE 200",
"city": "NEWTON",
"state": "IA",
"postal_code": "502083981",
"telephone_number": "641-792-4012"
}
],
"practiceLocations": [
{
"address_1": "1220 NE Station Xing Ste 114",
"address_purpose": "LOCATION",
"city": "Grimes",
"state": "IA",
"postal_code": "501118013",
"country_code": "US",
"telephone_number": "515-380-6516",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUMRALL",
"first_name": "TIFFANY",
"middle_name": "E",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-02",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "110038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "HETH",
"credential": "LMHC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.