KATHRYN TIFFANY (NPI# 1487291993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487291993 |
| Entity Type | Individual |
| Full Name | KATHRYN TIFFANY |
| Practice Address |
4140 E Baseline Rd Ste 101 Mesa AZ 85206-4413 |
| Mailing Address |
1645 W Baseline Rd Unit 2114 Mesa AZ 85202-5763 |
| Practice Telephone | 4807125779 |
| Mailing Telephone | 4807899015 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2020-01-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LAC-17398 | AZ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1645 W Baseline Rd Unit 2114, Mesa, AZ 852025763 | 4807899015 |
| Street Address |
4140 E BASELINE RD STE 101 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477501161 | Joseph Khatchadourian | Internal Medicine | 4140 E Baseline Rd Ste 101, Mesa, AZ 85206-4413 | 2006-05-04 |
| 1487003190 | Cornerstone Counseling Services of Arizona | Community/Behavioral Health | 4140 E Baseline Rd Ste 101, Mesa, AZ 85206-4413 | 2016-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496054 | Ryse Therapeutic Counseling LLC | Counselor | 461 W Holmes Ave Unit 181, Mesa, AZ 85210-5181 | 2020-10-27 |
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1467060350 | Torch Wellness and Consulting LLC | Counselor | 3707 E Southern Ave Ste 1029, Mesa, AZ 85206-6202 | 2020-07-16 |
| 1750904736 | Colin Bennett | Counselor | 1234 S Power Rd Ste 100, Mesa, AZ 85206-3740 | 2020-05-25 |
| 1386267508 | Devyn H Davis | Counselor | 30 E Brown Rd Unit 1054, Mesa, AZ 85201-3527 | 2020-05-21 |
| 1376165266 | Therapy LLC | Counselor | 1818 E Southern Ave Ste 3a, Mesa, AZ 85204-5247 | 2020-05-13 |
| 1902432107 | Connie Rae Parker | Counselor | 1955 S Val Vista Dr, Mesa, AZ 85204-7370 | 2020-03-19 |
| 1265065544 | Phillip Micheal Garrison | Counselor | 1741 S Clearview Ave Unit 7, Mesa, AZ 85209-4005 | 2020-02-14 |
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1053951913 | Candace Delight Cook | Counselor | 3707 E Southern Ave Ste 2016, Mesa, AZ 85206-6213 | 2020-01-08 |
| Find all providers in MESA | ||||
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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.