Active NPI
Tiara Ervin
- Counselor
- Montgomery, AL
National Provider Identifier
1902638570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- ALCO4935
- Practice address
- 1763 Taliaferro TRL
Montgomery, AL 36117-7758 - Phone
- (334) 398-8526
- NPI assigned
- Aug 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | ALCO4935 | AL | Primary |
Addresses
Primary practice location
1763 Taliaferro TRL
Montgomery, AL 36117-7758
Mailing address
1270 Cross Creek Rd
Prattville, AL 36067-8503
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ALCO4935 | AL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1902638570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1270 CROSS CREEK RD",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360678503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1763 TALIAFERRO TRL",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361177758",
"telephone_number": "334-398-8526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERVIN",
"first_name": "TIARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-14",
"last_updated": "2024-08-14",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AL",
"license": "ALCO4935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.