Individual provider Active NPI

Tiffany Michele Coleman, MA, LPC-INTERN

  • Mental Health Counselor
  • Arlington, TX
National Provider Identifier
1952825986
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
73601 Issued in TX
Practice address
320 Westway PL Ste 530
Arlington, TX 76018
Phone
(817) 516-9100
NPI assigned
Aug 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 73601 TX Primary

Addresses

Primary practice location

320 Westway PL Ste 530
Arlington, TX 76018

Mailing address

320 Westway PL Ste 530
Arlington, TX 76018-1000
Phone (817) 516-9100

Other practice location 1

185 S. Kimball Ave
Suite 100
Southlake, TX 76092
Phone (817) 756-1440

Other practice location 2

320 Westway Pl
Arlington, TX 76018-5245
Phone (817) 516-9100

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
73601TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
First Light Counseling, LLC PastSince Oct 1, 2023 Accepting new patients

Organizations & group practices 1

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": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952825986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WESTWAY PL STE 530",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181000",
            "telephone_number": "817-516-9100",
            "fax_number": "817-516-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WESTWAY PL STE 530",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76018",
            "telephone_number": "817-516-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 S. Kimball Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "76092",
            "country_code": "US",
            "telephone_number": "817-756-1440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Westway Pl",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760185245",
            "country_code": "US",
            "telephone_number": "817-516-9100",
            "fax_number": "817-516-9102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "TIFFANY",
        "middle_name": "MICHELE",
        "credential": "MA, LPC-INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "73601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.