Individual provider Active NPI

Tiffany Graves, MHC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1770909228
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
315 Wyckoff Ave Ste 6
Brooklyn, NY 11237-5842
Phone
(718) 497-6090
NPI assigned
Mar 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

315 Wyckoff Ave Ste 6
Brooklyn, NY 11237-5842

Mailing address

315 Wyckoff Ave Ste 6
Brooklyn, NY 11237-5842
Phone (718) 497-6090

Other practice location 1

30-16 31st Street
Suite 1A
Astoria, NY 11102
Phone (917) 510-3391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nyconfidential Behavioral Medicine PC Past 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": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1770909228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WYCKOFF AVE STE 6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112375842",
            "telephone_number": "718-497-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WYCKOFF AVE STE 6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112375842",
            "telephone_number": "718-497-6090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30-16 31st Street",
            "address_2": "Suite 1A",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "11102",
            "country_code": "US",
            "telephone_number": "917-510-3391",
            "fax_number": "347-935-3936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "TIFFANY",
        "credential": "MHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-07",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

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