Tiffany Marie Blakeman

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

855 W 7TH St Ste 160
Reno, NV 89503-2706

Phone

(775) 677-2216

NPI assigned

Jul 16, 2018

Last updated

Jun 3, 2020By 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

Medicare fee-for-service enrollment

Enrolled in NV

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 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diana Wright Psy D LLCGroup PAC ID 7113263971, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Diana Wright, Psy.D., LLC

  dba Mind and Body Counseling Associates

  • Psychologist
  • Reno, NV
  • NPI 1780181248

  Mental Health

  Medicare reassignment Care Compare group NPD
• Maple Star Nevada LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Reno, NV
  • NPI 1457492332
  NPD

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1992281760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 MEMORY LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895092444",
            "telephone_number": "775-846-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 W 7TH ST STE 160",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895032706",
            "telephone_number": "775-677-2216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Mill St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021463",
            "country_code": "US",
            "telephone_number": "775-538-6700",
            "fax_number": "775-688-5878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKEMAN",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob L Blake, M.D.
• Kenneth Blake
• Kimberly Blake
• Timothy Blake, B.S.
• William Blake
• Laura Blakemore
• Richard Watson Blakey, M.D.
• Robert Ralph Blalock
• Noel Blanco, D.O.
• Osmin Odir Blanco

• Mental Health Counselor in Reno, NV
• Providers in Reno, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.