Tiffany Coward Mixon, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8572 Issued in SC

Practice address

5003 Una Rd
Hartsville, SC 29550-1954

Phone

(843) 319-0075

NPI assigned

Nov 23, 2022

Last updated

Nov 23, 2022By 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 1

Addresses

Other names 1

• Tiffany Coward Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1861102303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 BRANHAMS AIRPORT RD",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295326326",
            "telephone_number": "843-453-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 UNA RD",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295501954",
            "telephone_number": "843-319-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIXON",
        "first_name": "TIFFANY",
        "middle_name": "COWARD",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "8572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "COWARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carolyn Paige Miller, MS, OTR/L
• Noreen L Mills, OTR/L
• Thomas Vanco Mincheff, MD
• Edwin Kyle Mitchell, O.D.
• Gyetri Mitchell, MSN, FNP
• Aseanda Leane Moody, MA
• Kelley Marie Moody, NP-C
• Casey Miller Moore, CPNP
• Delores Moore, D.AC., PH.D.
• Kaitlyn Moore, CCC-SLP

• Mental Health Counselor in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.