Tiffany Buchanan, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701008830 Issued in VA

Practice address

5626 Patriot Dr
Wise, VA 24293-1138

Phone

(276) 455-5556

NPI assigned

Sep 29, 2020

Last updated

Sep 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family Preservation Services LLC

  dba Clarvida

  • Community/Behavioral Health Agency
  • Roanoke, VA
  • NPI 1093891335
  NPD (past)

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630800000000",
    "number": "1801403365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90",
            "city": "COEBURN",
            "state": "VA",
            "postal_code": "242300090",
            "telephone_number": "276-455-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5626 PATRIOT DR",
            "city": "WISE",
            "state": "VA",
            "postal_code": "242931138",
            "telephone_number": "276-455-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "TIFFANY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2021-09-05",
        "certification_date": "2021-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbuchanan@thehealthwagon.org",
            "affiliation": "N",
            "address_1": "5626 Patriot Dr, Wise, VA 24293",
            "city": "Wise",
            "state": "VA",
            "country_code": "US",
            "postal_code": "24293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathryn Blunt, LCSW
• Brianna Nicole Bohnert
• Cari S. Braddock
• Amy Elizabeth Brock, PSY S; NCSP
• Kalianna Grace Brooks
• Jack Butler
• Eleanor Sue Cantrell, M.D.
• Johnnie K Carrico, MSN FNP
• Makayla Danielle Castle, SLP
• Cavalier Pharmacy Inc

• Professional Counselor in Wise, VA
• Providers in Wise, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2021; 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.