Individual provider Active NPI

Tiffany Preciado, LPCA

  • Mental Health Counselor
  • Wake Forest, NC
National Provider Identifier
1740628783
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A8045 Issued in NC
Practice address
10520 Ligon Mill Rd Ste 108
Wake Forest, NC 27587-4586
Phone
(919) 263-9592
NPI assigned
Jun 12, 2013
Last updated
Mar 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A8045 NC
Mental Health Counselor 101YM0800X A8045 NC Primary

Addresses

Primary practice location

10520 Ligon Mill Rd Ste 108
Wake Forest, NC 27587-4586

Mailing address

10520 Ligon Mill Rd Ste 108
Wake Forest, NC 27587-4586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250530000166 NC Practitioner - Mental Health Counselor 2466961735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope and Restoration Pathways Christian CounselingGroup PAC ID 8426391699, 2 clinicians

Practice addresses (Care Compare)

310 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 803-8122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A8045NCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope and Restoration Pathways Christian Counseling CurrentSince May 6, 2025 Accepting new patients
Hope and Restoration Pathways CurrentSince May 6, 2025 Accepting new patients

Locations

310 New Fidelity Ct
Garner, NC 27529
Phone (919) 744-4461

Organizations & group practices 2

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1740628783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10520 LIGON MILL RD STE 108",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10520 LIGON MILL RD STE 108",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874586",
            "telephone_number": "919-263-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRECIADO",
        "first_name": "TIFFANY",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A8045",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A8045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.