Individual provider Active NPI

Tiffany Wright

  • Professional Counselor
  • Deptford, NJ
National Provider Identifier
1972979748
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC014341 Issued in PA
Practice address
1907 Deptford Center Rd Ste 3
Deptford, NJ 08096-5633
Phone
(917) 831-8513
NPI assigned
Aug 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X PC014341 PA Primary

Addresses

Primary practice location

1907 Deptford Center Rd Ste 3
Deptford, NJ 08096-5633

Mailing address

1907 Deptford Center Rd Ste 3
Deptford, NJ 08096-5633
Phone (917) 831-8513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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

Enrollment IDStateProvider typePAC IDDetails
I20250904001179 NJ Practitioner - Mental Health Counselor 5092217638 Reassigns benefits to 1 organization
I20251008000869 PA Practitioner - Mental Health Counselor 5092217638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

106 Wilson Ave
Mount Ephraim, NJ 08059-1882

1907 Deptford Ctr Rd
Suite 3
Deptford, NJ 08096-5633

500 Westover Dr
Sanford, NC 27330-8941

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group of New Jersey PC Professional CurrentSince Aug 1, 2025 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Sep 3, 2025 Accepting new patients
Mental Health Specialty Group PA Professional CurrentSince Aug 20, 2025 Accepting new patients
Family Guidance Center Corporation Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

1650 Market St
Philadelphia, PA 19103
Phone (215) 514-0760

Organizations & group practices 4

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": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1972979748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 DEPTFORD CENTER RD STE 3",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080965633",
            "telephone_number": "917-831-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 DEPTFORD CENTER RD STE 3",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080965633",
            "telephone_number": "917-831-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deptford, NJ

Sources for this page

Verify at the official NPI Registry.