Tiffani Amber Smith, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

012082 Issued in NY

Practice address

6312 75TH St
Middle Village, NY 11379-1818

Phone

(718) 308-1985

NPI assigned

Jun 20, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

J.Corea Mental Health Counseling PCGroup PAC ID 1658733621, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• J.Corea Mental Health Counseling PC

  • Exclusive Provider Organization
  • Garden City, NY
  • NPI 1467907733
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1750012985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 75TH ST",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791818",
            "telephone_number": "718-308-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6312 75TH ST",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791818",
            "telephone_number": "718-308-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TIFFANI",
        "middle_name": "AMBER",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alitza Rachael Shoss, LCSW
• Elizabeth Ann Sikora, M.S. ED
• Lizbeth Simon
• Simplex RX Inc
• Pamela M Singer, RDN
• Social Butterflies Psychotherapy LCSW PLLC
• Jennifer M Somin
• Somma Pharmaceutical Co LTD
• Michael Somma, RPH
• Frank P. Sosnowski, RPH, MS

• Mental Health Counselor in Middle Village, NY
• Providers in Middle Village, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.