Tiffany Lyssa Barth, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R8578 Issued in OR

Practice address

1275 NW Adams St Ste C
McMinnville, OR 97128-3549

Phone

(971) 375-1523

NPI assigned

Sep 19, 2023

Last updated

Sep 19, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Professional Counseling Group LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salem, OR
  • NPI 1740980887
  NPD

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1821876954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 SE COOPER ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381945",
            "telephone_number": "971-375-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 NW ADAMS ST STE C",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971283549",
            "telephone_number": "971-375-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTH",
        "first_name": "TIFFANY",
        "middle_name": "LYSSA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R8578",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "R8578",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon Earl Banks, PH.D.,M.D.
• George T Barker, MD
• Alicia Marie Barmettler, RN
• Angela M Barnes, RN, CDE
• Chad Barnett, LMT
• Melissa A Bartlett, DPT
• Bay Area Radiology, PC
• Romina Isabel Bearzzotti, QMHA
• Jill Beaudry
• Jennifer Beecroft, RN

• Mental Health Counselor in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.