Tiffany M. Afflalo-Williams, LPC
Individual provider Active NPI Professional Counselor · Atlanta, GA
NPI 1922399484 · NPPES record last updated Dec 10, 2025
Key facts
- NPI
- 1922399484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 11599 (OK)
- Practice address
- PO Box 748465
Atlanta, GA 30374-8465 - Phone
- (855) 284-7483
- Fax
- (617) 807-0958
- NPI assigned
- May 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Thrive Counseling LLC
Practice addresses (Care Compare)
3000 United Founders Blvd
Suite 142
Oklahoma City, OK 73112-4342
Phone (855) 284-7483
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260408001445 | OK | Practitioner - Mental Health Counselor | 1557836426 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 11599 | OK | Yes |
Addresses
Primary practice location
PO Box 748465
Atlanta, GA 30374-8465
Mailing address
PO Box 748465
Atlanta, GA 30374-8465
Phone (855) 284-7483
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R082712202 | Medicaid | OK |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.