TIFFANY BERRY (NPI# 1790264109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790264109 |
| Entity Type | Individual |
| Full Name | TIFFANY BERRY |
| Credential | LPC |
| Practice Address |
2003 Se Walton Blvd Bentonville AR 72712-3725 |
| Mailing Address |
2400 S 48th St Springdale AR 72762-6683 |
| Practice Telephone | 4797256000 |
| Practice Fax Number | 4797504843 |
| Mailing Telephone | 4797502020 |
| Mailing Fax Number | 4797504843 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2020-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
A1607083 | AR | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
P2002016 | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003197781 | Tiffany Joann Berry | Counselor | 713 Nw 138th St, Edmond, OK 73013-1908 | 2011-09-08 |
| 1174168934 | Tiffany Berry | Case Manager/Care Coordinator | 830 N Summit St Ste 2, Toledo, OH 43604-1884 | 2019-11-15 |
| 1528621083 | Tiffany Joy Berry | Audiologist | 3901 Beaubien St, Detroit, MI 48201-2196 | 2019-04-19 |
| 1144602756 | Tiffany Berry | Speech-Language Pathologist | 6601 Montana Ave Ste G&h, El Paso, TX 79925-2155 | 2015-06-19 |
| 1669637856 | Tiffany S Berry | Surgery | 315 E Broadway, Suite 310, Louisville, KY 40202-3700 | 2008-07-28 |
| 1003013343 | Tiffany Jones Berry | Family Medicine | 2401 S 31st St, Temple, TX 76508-0001 | 2007-06-29 |
| Street Address |
2003 SE WALTON BLVD |
| City | BENTONVILLE |
| State | AR |
| Zip Code | 72712-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194773879 | Robin Bromley | Social Worker | 2003 Se Walton Blvd, Bentonville, AR 72712-3725 | 2006-05-04 |
| 1285235598 | Ragon Sprabery | Case Manager/Care Coordinator | 2003 Se Walton Blvd, Bentonville, AR 72712-3725 | 2020-11-03 |
| 1992304166 | George Palestino | Case Manager/Care Coordinator | 2003 Se Walton Blvd, Bentonville, AR 72712-3725 | 2020-10-20 |
| 1356948095 | Shan Evans | Case Manager/Care Coordinator | 2003 Se Walton Blvd, Bentonville, AR 72712-3725 | 2020-10-06 |
| 1982201620 | Quinn Emett | Case Manager/Care Coordinator | 2003 Se Walton Blvd, Bentonville, AR 72712-3725 | 2020-10-06 |
| 1851907935 | Taylor Goff | Case Manager/Care Coordinator | 2003 Se Walton Blvd, Bentonville, AR 72712-3725 | 2020-09-23 |
| 1679189757 | Macy Marshall | Case Manager/Care Coordinator | 2003 Se Walton Blvd, Bentonville, AR 72712-3725 | 2020-09-23 |
| 1588278493 | Elizabeth Faulkenbury | Counselor | 2003 Se Walton Blvd, Bentonville, AR 72712-3725 | 2020-09-08 |
| 1194339093 | Grace Daniel | Case Manager/Care Coordinator | 2003 Se Walton Blvd, Bentonville, AR 72712-3725 | 2020-09-08 |
| 1275146094 | Steffanie Naples | Social Worker | 2003 Se Walton Blvd, Bentonville, AR 72712-3725 | 2020-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
| 1942837059 | Amy Crumpton | Counselor | 3504 Se Riveria Road, Bentonville, AR 72712 | 2020-03-26 |
| 1295361509 | Unbridled Holdings LLC | Physical Therapy Assistant | 9900 Price Coffee Rd, Bentonville, AR 72712 | 2020-03-18 |
| 1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
| 1740746635 | Meredith C Hodges | Counselor | 2508 Se 2oth St, Bentonville, AR 72712 | 2019-02-15 |
| 1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
| 1811406747 | Upspring Therapy, LLC | Counselor | 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 | 2017-09-22 |
| 1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
| 1508399502 | Rosanna Nicole Rephan | Nurse Practitioner | 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 | 2017-04-06 |
| 1417305517 | Charlotte Lennette Stephenson | Behavioral Analyst | 2005 S.e. Walton Blvd., Bentonville, AR 72712 | 2016-05-31 |
| Find all providers in zip 72712 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689080871 | Whitney Nellore | Counselor | 2104 Se 14th St, Bentonville, AR 72712-6902 | 2014-07-08 |
| 1235565060 | Erin Popejoy | Counselor | 1003 Se 14th St Ste 4, Bentonville, AR 72712-6897 | 2013-09-25 |
| 1407182272 | Sandra M Underwood | Counselor | 615 N Walton Blvd, Suite M, Bentonville, AR 72712-4546 | 2009-10-28 |
| 1154497469 | Lauren Ellen Levine | Counselor | 905 Se 28th St Ste 9, Bentonville, AR 72712-3882 | 2006-11-28 |
| 1942255336 | Melissa Lou Peck | Counselor | 1002 Mcclain Rd Ste 108, Bentonville, AR 72712-6739 | 2006-05-23 |
| 1194351726 | Robert Stubbs | Counselor | 2713 Se I St Ste 5, Bentonville, AR 72712-0078 | 2020-03-16 |
| 1710513338 | Emerge Services, LLC | Counselor | 2713 Se I St Ste 5, Bentonville, AR 72712-0078 | 2020-03-15 |
| 1174009781 | Corretta Woodard | Counselor | 2713 Se I St Ste 5, Bentonville, AR 72712-0078 | 2018-07-17 |
| 1578051215 | Linnea Marie Heintz | Counselor | 2713 Se I St Ste 5, Bentonville, AR 72712-0078 | 2018-04-27 |
| 1164927281 | Robyn Lea Nelson | Counselor | 1003 Se 14th St Ste 4, Bentonville, AR 72712-6897 | 2018-03-29 |
| Find all providers in BENTONVILLE | ||||
| City | BENTONVILLE |
| Zip Code | 72712 |
Please comment or provide details below to improve the information on TIFFANY BERRY.
| 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.