Active NPI
Tiffany Farmer, MFT-ASSOCIATE
- Mental Health Counselor
- Louisville, KY
National Provider Identifier
1922650282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 168067
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 168067 | KY | |
| Mental Health Counselor | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 168067 | KY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Life Mental Health Services LLC | Multi-Specialty | Current | 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.
-
- Community/Behavioral Health Agency
- Louisville, KY
- NPI 1417564220
Multi-Specialty
-
- Mental Health Counselor
- Louisville, KY
- NPI 1922756758
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.