Tiffany Blanton, LPCC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1163 Issued in KY

Practice address

1448 Diederich Boulveard
Russell, KY 41169

Phone

(606) 834-0020

Fax

(606) 834-0049

NPI assigned

Sep 17, 2006

Last updated

Feb 24, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in KY, OH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Extended Care Specialists, Inc

  • Adult Medicine Physician
  • Merrillville, IN
  • NPI 1134146079

  KY, OH

  Medicare reassignment Care Compare group NPD
• Lighthouse Professional Counseling Services, PLLC

  • Professional Counselor
  • Ashland, KY
  • NPI 1003218546
  Medicare reassignment NPD

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1972600609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 DIEDERICH BLVD",
            "city": "RUSSELL",
            "state": "KY",
            "postal_code": "411691719",
            "telephone_number": "606-834-0020",
            "fax_number": "606-834-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 DIEDERICH BOULVEARD",
            "city": "RUSSELL",
            "state": "KY",
            "postal_code": "41169",
            "telephone_number": "606-834-0020",
            "fax_number": "606-834-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANTON",
        "first_name": "TIFFANY",
        "credential": "LPCC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "1163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30610026",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2886911",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000558499",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Appalachian Healthworks LLC (Appalachian HealthWorks)
• Ashland Hospital Coporation (Kings Daughters Medical Center Behavioral Health)
• Ashland Medical Group
• Bellefonte Family Dental Care, PSC
• Bellefonte Physician Services, Inc. (Bellefonte Pediatrics Russell)
• Brittany Block, APRN
• Bodyworx Physical Therapy & Chiropractic Wellness Center PLLC
• Bodyworx Spine & Chiropractic PLLC
• Kelli Brown, MD
• Carey Chiropractic and Rehabilitation Center, Inc

• Professional Counselor in Russell, KY
• Providers in Russell, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.