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1538955513 NPI number — TIFFANY AMBER SHIELDS LPC

NPI Number: 1538955513
Health Care Provider/Practitioner: TIFFANY AMBER SHIELDS LPC

Information about “1538955513” NPI (TIFFANY AMBER SHIELDS LPC) exists in 1538955513 in HTML format HTML  |  1538955513 in plain Text format TXT  |  1538955513 in PDF (Portable Document Format) PDF  |  1538955513 in an XML format XML  formats.

NPI Number : 1538955513 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538955513",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHIELDS",
    "FirstName": "TIFFANY",
    "MiddleName": "AMBER",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SHIELDS",
    "OtherFirstName": "TAROWYN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MA, LPC",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "261 W JOHNSTOWN RD STE 107",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GAHANNA",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43230-2887",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "888-830-0347",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "261 W JOHNSTOWN RD STE 107",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GAHANNA",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43230-2887",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "888-830-0347",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/16/2025",
    "LastUpdateDate": "10/01/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "C.2406240",
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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