Individual provider Active NPI

Tiffany Antionette McBride

  • Rehabilitation Counselor
  • Marion, SC
National Provider Identifier
1881174662
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation CounselorTaxonomy code 225C00000X
Practice address
2320 SC-41 Alt
Marion, SC 29571
Phone
(843) 423-8345
NPI assigned
Aug 21, 2018
Last updated
Aug 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X SC Primary

Addresses

Primary practice location

2320 SC-41 Alt
Marion, SC 29571

Mailing address

719 N Main St
Marion, SC 29571-2517
Phone (843) 423-1811

Other practice location 1

719 N Main St
Marion, SC 29571-2517
Phone (843) 423-1811

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marion County School District Past Accepting new patients
Marion School District One Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1881174662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 N MAIN ST",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295712517",
            "telephone_number": "843-423-1811",
            "fax_number": "843-423-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 SC-41 ALT",
            "city": "MARION",
            "state": "SC",
            "postal_code": "29571",
            "telephone_number": "843-423-8345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "719 N Main St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "SC",
            "postal_code": "295712517",
            "country_code": "US",
            "telephone_number": "843-423-1811",
            "fax_number": "843-423-8328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "TIFFANY",
        "middle_name": "ANTIONETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.