Tiffany Wilcken, MAS LAMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LAMFT-10511 Issued in AZ

Practice address

19242 S 199TH PL
Queen Creek, AZ 85142-9395

Phone

(480) 329-5781

NPI assigned

Sep 6, 2016

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

Other names 1

• Tiffany Wilcken Moser Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1821545922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19242 S 199TH PL",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851429395",
            "telephone_number": "480-329-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19242 S 199TH PL",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851429395",
            "telephone_number": "480-329-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCKEN",
        "first_name": "TIFFANY",
        "credential": "MAS LAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LAMFT-10511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "MOSER",
            "middle_name": "WILCKEN",
            "credential": "MAS LAMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Michael John White, RPH
• Elizabeth Wielebinski, BCBA
• Brie'El Wiles, DMD
• Bryanna Linda Wiley
• Williams Performance Physical Therapy LLC
• Chryselle Williams
• Jamie Lynn Williams, SLP

• Marriage & Family Therapist in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Marriage & Family Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.