Individual provider Active NPI

Tiffany Smith, LAC, LPC

  • Professional Counselor
  • Parachute, CO
National Provider Identifier
1750737235
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0014505 Issued in CO
Practice address
71 Bryan Loop
Parachute, CO 81635-7708
Phone
(970) 414-0801
NPI assigned
May 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0002178 CO
Professional Counselor 101YP2500X LPC.0014505 CO Primary

Addresses

Primary practice location

71 Bryan Loop
Parachute, CO 81635-7708

Mailing address

71 Bryan Loop
Parachute, CO 81635-7708
Phone (970) 414-0801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240301001513 CO Practitioner - Mental Health Counselor 0547610487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

71 Bryan Loop
Parachute, CO 81635-7708
Phone (970) 414-0801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0002178COMDAddiction (Substance Use Disorder) Counselor
LPC.0014505COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Valley Integrative Counseling, PLLC. Addiction (Substance Use Disorder) CurrentSince Mar 10, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1750737235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 BRYAN LOOP",
            "city": "PARACHUTE",
            "state": "CO",
            "postal_code": "816357708",
            "telephone_number": "970-414-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 BRYAN LOOP",
            "city": "PARACHUTE",
            "state": "CO",
            "postal_code": "816357708",
            "telephone_number": "970-414-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TIFFANY",
        "credential": "LAC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0002178",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0014505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parachute, CO

Sources for this page

Verify at the official NPI Registry.