Individual provider Active NPI

Tiffany L Smith, MA

  • Professional Counselor
  • Gibbsboro, NJ
National Provider Identifier
1801912886
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00654500 Issued in NJ
Practice address
10 Foster Ave Ste 1a
Gibbsboro, NJ 08026-1162
Phone
(856) 782-6749
NPI assigned
Mar 22, 2007
Last updated
Mar 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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 37PC00654500 NJ Primary

Addresses

Primary practice location

10 Foster Ave Ste 1a
Gibbsboro, NJ 08026-1162

Mailing address

10 Foster Ave Ste 1a
Gibbsboro, NJ 08026-1162
Phone (856) 782-6749

Other practice location 1

1115 E Gibbsboro Rd
Lindenwold, NJ 08021-1213
Phone (856) 805-7338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37PC00654500NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Inc Professional Past Accepting new patients

Organizations & group practices 1

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1801912886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FOSTER AVE STE 1A",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261162",
            "telephone_number": "856-782-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FOSTER AVE STE 1A",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261162",
            "telephone_number": "856-782-6749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 E Gibbsboro Rd",
            "address_purpose": "LOCATION",
            "city": "Lindenwold",
            "state": "NJ",
            "postal_code": "080211213",
            "country_code": "US",
            "telephone_number": "856-805-7338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TIFFANY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00654500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibbsboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.