Individual provider Active NPI

Tiffany Trelette Lovelady Wells, DPC, LPC, NCC, NCSC

  • Professional Counselor
  • Brandon, MS
National Provider Identifier
1851757140
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2039 Issued in MS
Practice address
2149 Highway 471
Brandon, MS 39047-8748
Phone
(769) 208-4992
Fax
(769) 207-7305
NPI assigned
Jan 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2039 MS
Professional Counselor 101YP2500X 2039 MS Primary

Addresses

Primary practice location

2149 Highway 471
Brandon, MS 39047-8748

Mailing address

217 Westfield Rd
Ridgeland, MS 39157-9753
Phone (769) 234-4153

Other practice location 1

460 Briarwood Dr Ste 510
Jackson, MS 39206-3057
Phone (601) 956-4816

Other practice location 2

368 Highland Colony Pkwy Ste 178
Ridgeland, MS 39157-6036
Phone (769) 234-4153

Other practice location 3

357 Towne Center Pl Ste 400
Ridgeland, MS 39157
Phone (888) 561-3380

Other names 1

  • Tiffany Lovelady Harris Former name

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

LicenseStateTypeSpecialty
2039MSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffany T Lovelady Counseling Mental Health Current Accepting new patients

Locations

368 Highland Colony Pkwy
Ste 178
Ridgeland, MS 39157
Phone (769) 234-4153

Interoperability endpoints

  • Direct secure messaging: tiffany.lovelady.1@30520.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1851757140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 WESTFIELD RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391579753",
            "telephone_number": "769-234-4153",
            "fax_number": "769-207-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 HIGHWAY 471",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390478748",
            "telephone_number": "769-208-4992",
            "fax_number": "769-207-7305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Briarwood Dr Ste 510",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392063057",
            "country_code": "US",
            "telephone_number": "601-956-4816",
            "fax_number": "601-956-4817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "368 Highland Colony Pkwy Ste 178",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391576036",
            "country_code": "US",
            "telephone_number": "769-234-4153",
            "fax_number": "833-252-6410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "357 Towne Center Pl Ste 400",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "39157",
            "country_code": "US",
            "telephone_number": "888-561-3380",
            "fax_number": "888-732-6141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVELADY WELLS",
        "first_name": "TIFFANY",
        "middle_name": "TRELETTE",
        "name_prefix": "Dr.",
        "credential": "DPC, LPC, NCC, NCSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-03",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "2039",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "HARRIS",
            "middle_name": "LOVELADY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brandon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.