Individual provider Active NPI

Tiffany Kory, LPC

  • Professional Counselor
  • Boerne, TX
National Provider Identifier
1780056077
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
84936 Issued in TX
Practice address
138 Old San Antonio Rd Ste 503
Boerne, TX 78006-3492
Phone
(586) 612-3325
NPI assigned
Oct 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 84936 TX
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X 84936 TX Primary

Addresses

Primary practice location

138 Old San Antonio Rd Ste 503
Boerne, TX 78006-3492

Mailing address

116 Jolie Cir
Boerne, TX 78015-4769
Phone (586) 612-3325

Other practice location 1

511 8th St
Clarksville, TN 37040-3093
Phone (931) 920-7200

Other names 1

  • Tiffany Brewer Former name

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

State licenses

LicenseStateTypeSpecialty
84936TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1780056077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 JOLIE CIR",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780154769",
            "telephone_number": "586-612-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 OLD SAN ANTONIO RD STE 503",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063492",
            "telephone_number": "586-612-3325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 8th St",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370403093",
            "country_code": "US",
            "telephone_number": "931-920-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORY",
        "first_name": "TIFFANY",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "84936",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "84936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "BREWER",
            "credential": "LPC-ASSOCIATE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.