Janey Tippett, LCDC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Midland, TX

NPI 1891004099 · NPPES record last updated Oct 5, 2010

Key facts

NPI
1891004099
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
11032 (TX)
Practice address
502 N Carver St
Midland, TX 79701-3634
Phone
(432) 570-3390
NPI assigned
Oct 5, 2010
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11032TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Permian Basin Community Center Past Accepting new patients
Permian Basin Community Centers for MHMR Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11032 TX Yes

Addresses

Primary practice location

502 N Carver St
Midland, TX 79701-3634

Mailing address

502 N Carver St
Midland, TX 79701-3634
Phone (432) 570-3390

Other providers in Midland, TX

All providers in Midland, TX · Addiction (Substance Use Disorder) Counselor in Texas

Sources for this page

Verify at the official NPI Registry.