Tiffany Moore Philpott, LCSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0904016922 Issued in VA

Practice address

11815 Fountain Way Ste 300
Newport News, VA 23606-4448

Phone

(844) 502-7283

NPI assigned

Jul 17, 2024

Last updated

Oct 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1962240622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MARSHALL AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245923413",
            "telephone_number": "434-579-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11815 FOUNTAIN WAY STE 300",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064448",
            "telephone_number": "844-502-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILPOTT",
        "first_name": "TIFFANY",
        "middle_name": "MOORE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0904016922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth B. Petik, PA-C
• Benjamin J Pettus, M.D., PHD
• Cathy Leslie Petway, M.ED., OTR
• Kristi A Pham
• Charles K Phillips, MD
• John G Phocas III, MD
• Physical Therapy Specialists, P.C. (Physical Therapy Now)
• Physicians Value Network, LLC
• Nikki Denise Pickett
• Grace Pierantoni, BCABA

• Professional Counselor in Newport News, VA
• Providers in Newport News, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.