Individual provider Active NPI

Tiffany Duncan-Ash, LPC

  • Professional Counselor
  • Lake Ozark, MO
National Provider Identifier
1790466233
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2023029401 Issued in MO
Practice address
1501 School Rd
Lake Ozark, MO 65049-9761
Phone
(573) 836-7102
Fax
(573) 765-3122
NPI assigned
Jul 27, 2023
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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 2023029401 MO Primary

Addresses

Primary practice location

1501 School Rd
Lake Ozark, MO 65049-9761

Mailing address

PO Box 777
Richland, MO 65556-0777
Phone (573) 708-7600

Other practice location 1

636 Highway 42
Osage Beach, MO 65065-5301
Phone (573) 348-0115

Other practice location 2

3870 Columbia Ave
Osage Beach, MO 65065-8689
Phone (573) 302-7490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20231211002089 MO Practitioner - Mental Health Counselor 4981053378 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023029401MOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Medical Center, Inc. Current Accepting new patients
Richland Medical Center, Inc. Past Accepting new patients

Locations

3870 Columbia Ave
Osage Beach, MO 65065
Phone (573) 302-7490

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1790466233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777",
            "city": "RICHLAND",
            "state": "MO",
            "postal_code": "655560777",
            "telephone_number": "573-708-7600",
            "fax_number": "573-723-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SCHOOL RD",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650499761",
            "telephone_number": "573-836-7102",
            "fax_number": "573-765-3122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "636 Highway 42",
            "address_purpose": "LOCATION",
            "city": "Osage Beach",
            "state": "MO",
            "postal_code": "650655301",
            "country_code": "US",
            "telephone_number": "573-348-0115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3870 Columbia Ave",
            "address_purpose": "LOCATION",
            "city": "Osage Beach",
            "state": "MO",
            "postal_code": "650658689",
            "country_code": "US",
            "telephone_number": "573-302-7490",
            "fax_number": "573-302-7895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN-ASH",
        "first_name": "TIFFANY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2023029401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Ozark, MO

Sources for this page

Verify at the official NPI Registry.