Active NPI
Tiffany Nicole Sinclair, LAC
- Addiction (Substance Use Disorder) Counselor
- Terre Haute, IN
National Provider Identifier
1821894262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 86000454A
- Practice address
- 2151 Lafayette Ave Ste 105
Terre Haute, IN 47805-2910 - Phone
- (812) 814-4104
- NPI assigned
- Feb 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 86000454A | IN | Primary |
Addresses
Primary practice location
2151 Lafayette Ave Ste 105
Terre Haute, IN 47805-2910
Mailing address
PO Box 314
Montezuma, IN 47862-0314
Phone (812) 239-3247
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86000454A | IN | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1821894262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 314",
"city": "MONTEZUMA",
"state": "IN",
"postal_code": "478620314",
"telephone_number": "812-239-3247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2151 LAFAYETTE AVE STE 105",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478052910",
"telephone_number": "812-814-4104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINCLAIR",
"first_name": "TIFFANY",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-24",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "86000454A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.