Tiffany Leatherberry, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PRC14417 Issued in DC

Practice address

12300 Washington Hwy
Ashland, VA 23005-7646

Phone

(804) 365-4222

Fax

(804) 365-4252

NPI assigned

Mar 13, 2014

Last updated

Mar 3, 2022By 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

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hanover County Board of Supervisors

  • Mental Health Counselor
  • Ashland, VA
  • NPI 1104858653
  Medicare reassignment NPD
• Hanover County Board of Supervisors

  dba Hanover Fire EMS

  • Ambulance
  • Hanover, VA
  • NPI 1245275403
  NPD

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1821414970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 WASHINGTON HWY",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230057646",
            "telephone_number": "301-523-7210",
            "fax_number": "804-365-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 WASHINGTON HWY",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230057646",
            "telephone_number": "804-365-4222",
            "fax_number": "804-365-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATHERBERRY",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-13",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC14417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ashland",
            "affiliation": "N",
            "address_1": "12300 Washington Hwy",
            "city": "Ashland",
            "state": "VA",
            "country_code": "US",
            "postal_code": "230057646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Louis J Korpics Jr., DDS
• Kelley Garrett Kramer, LPC
• Jessica Ashley Krusie
• Erica Lapp
• Brianna Lasher, LCSW
• Mary Leffler
• Sharon Marie Liesen
• Lighthouse Counseling Center, PC
• Lauren Krusenklaus Lints, LCSW
• Bingsheng Liu

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.