Individual provider Active NPI

Tiffany Farmer, MFT-ASSOCIATE

  • Mental Health Counselor
  • Louisville, KY
National Provider Identifier
1922650282
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
168067 Issued in KY
Practice address
4169 Westport Rd Ste 103
Louisville, KY 40207-2747
Phone
(502) 333-9466
NPI assigned
Jul 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 168067 KY
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 168067 KY Primary

Addresses

Primary practice location

4169 Westport Rd Ste 103
Louisville, KY 40207-2747

Mailing address

4169 Westport Rd Ste 103
Louisville, KY 40207-2747
Phone (502) 333-9466

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Intake@bestlifelouisville.com Direct

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

LicenseStateTypeSpecialty
168067KYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Best Life Mental Health Services LLC Multi-Specialty CurrentSince Sep 27, 2020 Accepting new patients
Elevated Therapeutic Solutions, LLC Mental Health Current Accepting new patients

Locations

1017 Baxter Ave
Ste 8
Louisville, KY 40204

4169 Westport Rd
Ste 103
Louisville, KY 40207
Phone (502) 333-9466

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.

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1922650282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4169 WESTPORT RD STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072747",
            "telephone_number": "502-333-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4169 WESTPORT RD STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072747",
            "telephone_number": "502-333-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "TIFFANY",
        "name_prefix": "Mrs.",
        "credential": "MFT-ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "168067",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "168067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Intake@bestlifelouisville.com",
            "affiliation": "N",
            "endpointDescription": "Intake Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4169 Westport Rd Ste 103",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402072747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.