Tiffani Mason, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

63319 Issued in TX

Practice address

1313 Southeast Pkwy
Azle, TX 76020-4024

Phone

(817) 993-9225

NPI assigned

May 19, 2009

Last updated

Dec 16, 2021By 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

Other identifiers 3

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": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1962637991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16204",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761620204",
            "telephone_number": "817-307-8141",
            "fax_number": "817-750-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 SOUTHEAST PKWY",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760204024",
            "telephone_number": "817-993-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "TIFFANI",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203083502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9567LC",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89398L",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mainstream Rehabilitation Services of TX
• Kavitha Mamindla, M.D.
• Arianna Martinez, LCDC-INTERN
• Eva Belinda Martinez, RPH
• Randall Ray Mask, DC
• James Lee Masson, DC
• Gino Mata, LCDC-INTERN
• Marisah Mata
• Jasmine Dawn Mayo
• Kristina Jo Mayo

• Professional Counselor in Azle, TX
• Providers in Azle, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.