Tiffany Patricia Waters, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0702008336 Issued in VA

Practice address

2811 Linkhorne Dr
Lynchburg, VA 24503-3353

Phone

(571) 462-7379

NPI assigned

Jul 21, 2022

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750016812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15529 RIDGECREST DR",
            "city": "MONTCLAIR",
            "state": "VA",
            "postal_code": "220251109",
            "telephone_number": "571-462-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 LINKHORNE DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245033353",
            "telephone_number": "571-462-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "TIFFANY",
        "middle_name": "PATRICIA",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0702008336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna J Washburn, DNP, RN, CNS, ACNS-B
• Lindsey Bowyer Washington, PA-C
• Gregory Wassum
• Susan Knap Wassum, MA, CCC-SLP
• Susan S Waters, RPH
• Jordan Watkins
• Lois Ashley Watkins, CPM
• Abigail Watson
• Adrienne Lindsay Watson, M.S., CCC-SLP
• Shelby Watson, BS

• Professional Counselor in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.