Active NPI
Tiffany Lynne Spangler
- Mental Health Counselor
- Chillicothe, OH
National Provider Identifier
1992279608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.2404581
- Practice address
- 42 N Plaza Blvd Ste C
Chillicothe, OH 45601-1757 - Phone
- (740) 851-5381
- NPI assigned
- Jan 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC.162264 | OH | |
| Professional Counselor | 101YP2500X | C.2103129 | OH | |
| Mental Health Counselor | 101YM0800X | E.2404581 | OH | Primary |
Addresses
Primary practice location
42 N Plaza Blvd Ste C
Chillicothe, OH 45601-1757
Mailing address
2933 Falls Rd
Bainbridge, OH 45612-9775
Phone (740) 804-7550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0333194 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LICDC.162264 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E.2404581 | OH | MD | Mental Health Counselor |
| C.2103129 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1992279608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2933 FALLS RD",
"city": "BAINBRIDGE",
"state": "OH",
"postal_code": "456129775",
"telephone_number": "740-804-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 N PLAZA BLVD STE C",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456011757",
"telephone_number": "740-851-5381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPANGLER",
"first_name": "TIFFANY",
"middle_name": "LYNNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-15",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LICDC.162264",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.2103129",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.2404581",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0333194",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.