Tiffany Erin Gorsuch Bainter, PHD, LCPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1 University Cir
Macomb, IL 61455-1367

Phone

(309) 298-1919

NPI assigned

Aug 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Tiffany Bainter Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Quad City Behavioral Health Associates, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rock Island, IL
  • NPI 1174016877

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1790978377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY CIR",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614551367",
            "telephone_number": "309-298-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY CIR",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614551367",
            "telephone_number": "309-298-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORSUCH BAINTER",
        "first_name": "TIFFANY",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "PHD, LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "BAINTER",
            "prefix": "DR.",
            "credential": "PHD LCPC NCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ilana Garnica
• Kyle Garrett, PHARM.D
• Gary L Sash DC
• Gastrohealth of Illinois SC
• James Joseph Gonzales, MD
• Graham Hospital Association
• Graham Hospital Association
• Graham Hospital Association
• Grand Prairie Assisted Living
• David J Greathouse, D.O.

• All providers in Macomb, IL
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.