Tiffany D. Koenen, LCSW, P.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1028 Issued in NE

Legal business name

TIFFANY D. KOENEN, LCSW, P.C.

Practice address

8021 Chicago St
Omaha, NE 68114-3533

Phone

(402) 502-1024

Fax

(402) 502-1555

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Tiffany Dawn Koenen, LCSW

Title

President

Phone

(402) 502-1024

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760680409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8021 CHICAGO ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143533",
            "telephone_number": "402-502-1024",
            "fax_number": "402-502-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8021 CHICAGO ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143533",
            "telephone_number": "402-502-1024",
            "fax_number": "402-502-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY D. KOENEN, LCSW, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOENEN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-502-1024",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": "1028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025455400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynne Tierney
• Michael Tiesi
• Katherine Tietjen
• Sharonn Ann Tietsort
• Artemis Tietz
• Tiffany M True LLC
• Tiffany'S Transitional Care LLC
• Alandra Mae Tiffin
• Kassandra Tighe
• Kaylee Michelle Tighe

• Community/Behavioral Health Agency in Omaha, NE
• Providers in Omaha, NE by specialty
• Community/Behavioral Health Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.