Individual provider Active NPI

Tiffany Marlene Civers

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1962999870
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
172 W 130TH St Ofc 1
New York, NY 10027-2030
Phone
(646) 285-6168
Fax
(646) 383-6920
NPI assigned
Apr 16, 2018
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00774300 NJ
Mental Health Counselor 101YM0800X 008609 NY
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

172 W 130TH St Ofc 1
New York, NY 10027-2030

Mailing address

172 W 130TH St Ofc 1
New York, NY 10027-2030
Phone (646) 285-6168

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
008609NYMDMental Health Counselor
37PC00774300NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Its Never Too Late Mental Health Counseling PLLC Professional CurrentSince Oct 30, 2022 Accepting new patients

Locations

172 W 130th St
Ofc 1
New York, NY 10027
Phone (646) 285-6168

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1962999870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 W 130TH ST OFC 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100272030",
            "telephone_number": "646-285-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 W 130TH ST OFC 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100272030",
            "telephone_number": "646-285-6168",
            "fax_number": "646-383-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIVERS",
        "first_name": "TIFFANY",
        "middle_name": "MARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00774300",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008609",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

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