Individual provider Active NPI

Tiffany Laray Dennis, LPC, MS

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1861037616
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC013304 Issued in GA
Practice address
5887 Glenridge Dr Ste 230
Atlanta, GA 30328-9929
Phone
(770) 410-8107
NPI assigned
Nov 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC013304 GA Primary

Addresses

Primary practice location

5887 Glenridge Dr Ste 230
Atlanta, GA 30328-9929

Mailing address

550 Northridge Pkwy Apt 1411
Sandy Springs, GA 30350-3401
Phone (803) 840-3763

Other practice location 1

12 S Erwin St Ste 3
Cartersville, GA 30120-3511
Phone (678) 974-9852

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC013304GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1861037616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 NORTHRIDGE PKWY APT 1411",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303503401",
            "telephone_number": "803-840-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5887 GLENRIDGE DR STE 230",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303289929",
            "telephone_number": "770-410-8107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 S Erwin St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "301203511",
            "country_code": "US",
            "telephone_number": "678-974-9852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "TIFFANY",
        "middle_name": "LARAY",
        "credential": "LPC, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC013304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.