TIFFANY COSTELLO (NPI# 1578104477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578104477 |
| Entity Type | Individual |
| Full Name | TIFFANY COSTELLO |
| Credential | PLPC |
| Practice Address |
1531 E Sunshine St Ste W29 Springfield MO 65804-1237 |
| Practice Telephone | 4179864489 |
| Mailing Telephone | 4179864489 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2018036461 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053715334 | Tiffany Costello | Developmental Therapist | 406 Dundee Rd, East Peoria, IL 61611-1614 | 2014-10-15 |
| Street Address |
1531 E SUNSHINE ST STE W29 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-1237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407910334 | Jenifer L. Simmons | Counselor | 1531 E Sunshine St Ste W29, Springfield, MO 65804-1237 | 2006-12-22 |
| 1740891100 | Kelly Wynne | Counselor | 1531 E Sunshine St Ste W29, Springfield, MO 65804-1237 | 2020-08-11 |
| 1083275481 | Lynn Marie Schirk | Counselor | 1531 E Sunshine St Ste W29, Springfield, MO 65804-1237 | 2019-06-26 |
| 1831659978 | Ernest Leslie Brown Iv | Counselor | 1531 E Sunshine St Ste W29, Springfield, MO 65804-1237 | 2019-03-24 |
| 1306306642 | Jamie Stokes | Counselor | 1531 E Sunshine St Ste W29, Springfield, MO 65804-1237 | 2019-03-22 |
| 1306356837 | Brittany Rachelle Groves | Counselor | 1531 E Sunshine St Ste W29, Springfield, MO 65804-1237 | 2017-10-11 |
| 1356570899 | Cindy Lowe | Counselor | 1531 E Sunshine St Ste W29, Springfield, MO 65804-1237 | 2009-07-06 |
| 1053558536 | Luther Ray Smith | Social Worker | 1531 E Sunshine St Ste W29, Springfield, MO 65804-1237 | 2009-01-20 |
| 1851540538 | Lauren J Sawyer | Counselor | 1531 E Sunshine St Ste W29, Springfield, MO 65804-1237 | 2008-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
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| 1366055352 | Joshua Dauner | Counselor | 819 N Boonville Ave, Springfield, MO 65802-3831 | 2020-08-28 |
| 1972114411 | Doris Osiimwe Johnson | Counselor | 52 Elaine Cir # 52, Springfield, MA 01109-1205 | 2020-08-10 |
| 1003426610 | Jy Counseling LLC | Counselor | 6054 Forrest Hollow Ln, Springfield, VA 22152-1428 | 2020-08-07 |
| 1912526674 | Amy Christine Russell | Counselor | 317 30th St Apt 304d, Springfield, OR 97478-7619 | 2020-04-13 |
| 1588299184 | Julie Patricia Slover | Counselor | 3331 S Parkview Ave, Springfield, MO 65804-4755 | 2020-03-04 |
| 1356986319 | Three Dirty Birds LLC | Counselor | 805 Lorraine Dr, Springfield, PA 19064-1004 | 2019-11-14 |
| 1992348916 | Tiffany Looney | Counselor | 1705 Centennial Blvd Ste 1, Springfield, OR 97477-3320 | 2019-10-22 |
| 1588206346 | Carrie Stormzand | Counselor | 4546 S Quail Creek Ave, Springfield, MO 65810-1678 | 2019-10-14 |
| 1366084295 | Betty Jean | Counselor | 673 Morris Ave, Springfield, NJ 07081-1512 | 2019-10-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on TIFFANY COSTELLO.
| 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.