Tiffani B Fritzsche, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH13782 Issued in FL

Practice address

1239 E Main St
Bartow, FL 33830

Phone

(863) 519-0575

Fax

(863) 582-9251

NPI assigned

Jul 16, 2012

Last updated

Jul 19, 2018By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Peace River Center for Personal Development Inc

  dba Peace River Center

  • Case Management Agency
  • Lakeland, FL
  • NPI 1790431146
  NPD (past)
• Peace River Center for Personal Development Inc

  dba Peace River Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bartow, FL
  • NPI 1821097767
  NPD (past)

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1881949931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338311559",
            "telephone_number": "863-519-0575",
            "fax_number": "863-582-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 E MAIN ST",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "33830",
            "telephone_number": "863-519-0575",
            "fax_number": "863-582-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZSCHE",
        "first_name": "TIFFANI",
        "middle_name": "B",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13782",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "MH13782",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016247500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018492100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Sheriffs Youth Ranches
• Florida Sheriffs Youth Ranchs Inc. (Florida Sheriffs Youth Villa)
• Ramel Ford
• Casey Fox
• Ashley Renee Frabotta, CERTIFIED DOULA
• Fusion Chiropractic Health & Wellness Center, LLC
• G4S Youth Services, LLC (Polk Halfway House)
• G4S Youth Services, LLC (Polk Halfway House)
• G4S Youth Services, LLC (Avon Park Youth Academy)
• Lindsay Nicole Gallo

• Mental Health Counselor in Bartow, FL
• Providers in Bartow, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.