TIFFANY MARIE NIELSON (NPI# 1225384779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225384779 |
| Entity Type | Individual |
| Full Name | TIFFANY MARIE NIELSON |
| Credential | LPC |
| Practice Address |
224 Evans Ln Suite 1 Chubbuck ID 83202-1912 |
| Practice Telephone | 2082374782 |
| Mailing Telephone | 2082374782 |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2014-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPC-5044 | ID | Behavioral Health & Social Service Providers |
| Street Address |
224 EVANS LN SUITE 1 |
| City | CHUBBUCK |
| State | ID |
| Zip Code | 83202-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013131366 | Nancy Hensen | Counselor | 224 Evans Ln, Chubbuck, ID 83202-1912 | 2007-04-11 |
| 1265821243 | Mirthia Marie Carrio | Social Worker | 224 Evans Ln, Ste A, Chubbuck, ID 83202-1912 | 2015-01-14 |
| 1932327160 | Childrens Supportive Services Incorporated | Community/Behavioral Health | 224 Evans Ln, Chubbuck, ID 83202-1912 | 2007-04-23 |
| 1306063987 | Childrens Supportive Services Incorporated | Community/Behavioral Health | 224 Evans Ln, Chubbuck, ID 83202-1912 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700379682 | Vera Whole Health, Wa PC | Clinic/Center | 219 Phil Meador Ave, Pocatello, ID 83202 | 2018-06-14 |
| 1649712597 | Angie M Mccurdy | Audiologist | 4155 Yellowstone Hwy, Pine Ridge Mall, Pocatello, ID 83202 | 2016-11-09 |
| 1285180836 | Beverly Grigg Jones | Counselor | 210 W. Burnside, Chubbuck, ID 83202 | 2016-09-01 |
| 1376992503 | Andrea Walsh | Nurse Practitioner | 1133 Call Creek Dr, Ste A, Pocatello, ID 83202 | 2016-06-08 |
| 1215381181 | Specialized Physical Therapy Pllc | Clinic/Center | 4141 Poleline Rd Ste A, Pocatello, ID 83202 | 2016-04-18 |
| 1457713588 | Jennifer Ann Gould | Radiologic Technologist | 907 Ryan Street, Chubbuck, ID 83202 | 2016-03-28 |
| 1154714897 | Phoenix Management LLC | Day Training, Developmentally Disabled Services | 10991 Deerridge Dr., Chubbuck, ID 83202 | 2015-03-05 |
| 1750781449 | Jennifer Lynn Seaich | Counselor | 4460 Center Way, Center Counseling, Pocatello, ID 83202 | 2014-08-29 |
| 1336562412 | Kurt Layton | Counselor | 337 Joel, Chubbuck, ID 83202 | 2014-01-27 |
| 1245653468 | Hannah's Place LLC | Occupational Therapist | 240 W Burnside Ave Ste D, Chubbuck, ID 83202 | 2014-01-23 |
| Find all providers in zip 83202 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336562412 | Kurt Layton | Counselor | 337 Joel, Chubbuck, ID 83202 | 2014-01-27 |
| 1699954263 | Verronica Harper | Counselor | 4460 Central Way Ste 2, Chubbuck, ID 83202-5095 | 2007-10-30 |
| 1154780278 | Center Counseling | Counselor | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2016-02-17 |
| 1366792855 | Randall Apgood | Counselor | 4650 Hawthorne Rd, Ste 3b, Chubbuck, ID 83202-2376 | 2012-09-12 |
| 1073882619 | Laurie Yates | Counselor | 4650 Hawthorne Rd, Ste 3b, Chubbuck, ID 83202-2376 | 2011-12-28 |
| 1518297985 | Whitney Warr | Counselor | 4460 Central Way, Chubbuck, ID 83202-5095 | 2010-01-07 |
| 1619114139 | William Mckee | Counselor | 4460 Central Way, Suite 2, Chubbuck, ID 83202-5095 | 2009-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841814 | Bright Beginnings Counseling | Counselor | 113 Rosebud Dr, Rupert, ID 83350-9146 | 2020-11-02 |
| 1962029298 | Kami Roach | Counselor | 155 2nd Ave N Ste 201, Twin Falls, ID 83301-6163 | 2020-07-02 |
| 1457975781 | Nikhail Sinea Maestas | Counselor | 3649 N Lakeharbor Ln, Boise, ID 83703-6913 | 2020-06-02 |
| 1609415199 | Summit Creek Counseling LLC | Counselor | 57 Bannock St, Malad City, ID 83252-1240 | 2019-12-31 |
| 1588202907 | Brianna Dannielle Windhorst | Counselor | 611 Wilson Ave Ste 5, Pocatello, ID 83201-5046 | 2019-12-16 |
| 1972145308 | Sarah Barnes | Counselor | 2068 S Eagle Rd, Meridian, ID 83642-6707 | 2019-10-17 |
| 1023650538 | Sarah Mcdermott | Counselor | 733 N Main St Ste C, Bellevue, ID 83313-6068 | 2019-10-16 |
| 1417598384 | Barton Vandenburg | Counselor | 1001 N 7th Ave, Pocatello, ID 83201-5761 | 2019-10-02 |
| 1932759404 | Stephanie Le Anne Beidman | Counselor | 800 Main St # 11, Lewiston, ID 83501-1838 | 2019-09-17 |
| 1750930277 | Julie Anne Meza | Counselor | 8691 W Mediterranean Ct, Boise, ID 83709-2600 | 2019-09-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.