Individual provider Active NPI

Tiffany Simmons, MA, LPC, LAC

  • Professional Counselor
  • Greeley, CO
National Provider Identifier
1801291380
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0013881 Issued in CO
Practice address
4665 W 20TH St Unit C1
Greeley, CO 80634-3221
Phone
(970) 400-7024
NPI assigned
Oct 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 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 0013881 CO Primary

Addresses

Primary practice location

4665 W 20TH St Unit C1
Greeley, CO 80634-3221

Mailing address

4665 W 20TH St Unit C1
Greeley, CO 80634-3221
Phone (970) 400-7024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240126000052 CO Practitioner - Mental Health Counselor 8527411552 Practice locations: Greeley, CO

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

929 38TH Ave CT
Suite 101
Greeley, CO 80634-1546
Phone (970) 400-7024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0013881COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Connection PLLC Professional CurrentSince Sep 24, 2023 Accepting new patients
Stephen P Street PLLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Just a Season LLC PastSince Oct 1, 2025 Accepting new patients

Locations

4665 W 20th St
Unit C1
Greeley, CO 80634
Phone (970) 400-7024

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": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1801291380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 W 20TH ST UNIT C1",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343221",
            "telephone_number": "970-400-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 W 20TH ST UNIT C1",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343221",
            "telephone_number": "970-400-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "TIFFANY",
        "credential": "MA, LPC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0013881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.