Melissa Ree Tiffany, MS, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2000150931 Issued in MO

Practice address

1636 S Glenstone Ave Ste 100
Springfield, MO 65804-1527

Phone

(417) 881-1300

Fax

(417) 883-5148

NPI assigned

Aug 9, 2021

Last updated

Aug 9, 2021By the provider in NPPES

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

Other names 1

• Ms. Melissa Ree Smith Former name

Medicare fee-for-service enrollment

Enrolled in MO

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, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

AIDS Project of the OzarksGroup PAC ID 4981771730, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• AIDS Project of the Ozarks

  dba Apo

  • Nurse Practitioner
  • Springfield, MO
  • NPI 1366634859

  Mental Health

  Medicare reassignment Care Compare group NPD
• AIDS Project of the Ozarks

  dba APO Pharmacy

  • Community/Retail Pharmacy
  • Springfield, MO
  • NPI 1194277681
  NPD

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1750056115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 W KATELLA ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074509",
            "telephone_number": "417-655-7131",
            "fax_number": "417-883-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 S GLENSTONE AVE STE 100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041527",
            "telephone_number": "417-881-1300",
            "fax_number": "417-883-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIFFANY",
        "first_name": "MELISSA",
        "middle_name": "REE",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2000150931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "SMITH",
            "middle_name": "REE",
            "prefix": "MS.",
            "credential": "MS, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vincent Gregory Tichenor, M.D.
• Ticknor Counseling
• Brenda L Ticknor, LIMHP, LMHC, SADC, L
• Kristi M. Tidwell
• Juliah C Tiedemann, M.D.
• Tifini a. Roberts, Psy.D., LLC
• Betty Gail Tilleman, ATC, LAT
• Bryce Tilley
• David Paul Tillman, D.O.
• Julian Scott Tillman, MA, LPC

• Mental Health Counselor in Springfield, MO
• Providers in Springfield, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.