Individual provider Active NPI

Tyffany Louise Kidd, LPC, LCPC

  • Professional Counselor
  • Washington, DC
National Provider Identifier
1790240778
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PRC15467 Issued in DC
Practice address
6218 Georgia Ave NW Ste 1-471
Washington, DC 20011-5125
Phone
(202) 335-3487
Fax
(202) 333-1367
NPI assigned
Feb 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PRC15467 DC Primary

Addresses

Primary practice location

6218 Georgia Ave NW Ste 1-471
Washington, DC 20011-5125

Mailing address

6218 Georgia Ave NW Ste 1-471
Washington, DC 20011-5125
Phone (202) 335-3487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20240227000494 DC Practitioner - Mental Health Counselor 6204271513 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PRC15467DCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Care, Inc. CurrentSince Jan 14, 2024 Accepting new patients
Mindful Counseling Services, PLLC Mental Health CurrentSince Oct 21, 2025 Accepting new patients
Unity Health Care Inc. CurrentSince Jan 14, 2024 Accepting new patients

Locations

1100 New Jersey Ave SE
Ste 500
Washington, DC 20003
Phone (202) 279-1817

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

Organizations & group practices 3

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": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1790240778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6218 GEORGIA AVE NW STE 1-471",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115125",
            "telephone_number": "202-335-3487",
            "fax_number": "202-333-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6218 GEORGIA AVE NW STE 1-471",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115125",
            "telephone_number": "202-335-3487",
            "fax_number": "202-333-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "TYFFANY",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LPC, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC15467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.