TIFFANY LYNN ROOT (NPI# 1639580715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639580715 |
| Entity Type | Individual |
| Full Name | TIFFANY LYNN ROOT |
| Credential | LPC |
| Practice Address |
17421 Telegraph Rd Detroit MI 48219-3165 |
| Mailing Address |
2578 Sylvan Shores Dr. Waterford UNITED STATES 48328 UM |
| Practice Telephone | 9897907500 |
| Mailing Telephone | 9892844556 |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2016-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401013988 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841779642 | Tiffany Root | Registered Nurse | 110 Cypress Station Dr, Houston, TX 77090-1630 | 2018-08-13 |
| 1548495161 | Tiffany Leigh Root | Physical Therapist | 2900 Charlevoix Dr Se Ste 200, Grand Rapids, MI 49546-7086 | 2009-05-27 |
| Street Address |
17421 TELEGRAPH RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48219-3165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629103270 | Tanya Terrell Thomas | Social Worker | 17421 Telegraph Rd, Detroit, MI 48219-3165 | 2007-02-23 |
| 1881226389 | Amanda Sue Hutchinson | Registered Nurse | 17421 Telegraph Rd, Detroit, MI 48219-3165 | 2020-02-12 |
| 1295366995 | Mary Kathryn Bicknell | Social Worker | 17421 Telegraph Rd, Detroit, MI 48219-3165 | 2020-01-31 |
| 1992345524 | Grace Hall | Social Worker | 17421 Telegraph Rd, Detroit, MI 48219-3165 | 2020-01-12 |
| 1437798105 | Sarah Rose Waterman | Social Worker | 17421 Telegraph Rd, Detroit, MI 48219-3165 | 2019-12-30 |
| 1386294882 | Neil W Shernoff | Social Worker | 17421 Telegraph Rd, Detroit, MI 48219-3165 | 2019-09-17 |
| 1174173959 | Chenika Rogers | Social Worker | 17421 Telegraph Rd, Detroit, MI 48219-3165 | 2019-09-13 |
| 1326695446 | Chelsey Denise Holmes | Social Worker | 17421 Telegraph Rd, Detroit, MI 48219-3165 | 2019-08-22 |
| 1255987731 | Tangela Shanice Smith | Counselor | 17421 Telegraph Rd, Detroit, MI 48219-3165 | 2019-08-12 |
| 1073169553 | Kayla Pacic | Counselor | 17421 Telegraph Rd, Detroit, MI 48219-3165 | 2019-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396008 | Betty Jean Fairchild-el | Home Health Aide | 20018 Norhtrop, Detroit, MI 48219 | 2020-11-04 |
| 1134787633 | Behavioral Health Professionals, Inc | Family Medicine | 19750 Burt Road, Detroit, MI 48219 | 2019-05-31 |
| 1255997755 | Shvaughn Laniece Nunley | Social Worker | 18422 W Mcnichols Rd, Detroit, MI 48219 | 2019-05-10 |
| 1770081168 | D & D Enterprise Group LLC | Durable Medical Equipment & Medical Supplies | 17405 Lahser, 202, Detroit, MI 48219 | 2018-01-31 |
| 1972011369 | Fibers of The Family LLC | Home Health | 16800 Edinborough Rd, Detroit, MI 48219 | 2018-01-19 |
| 1871049684 | Monique Jackson | Occupational Therapist | 21630 Jessel Ave, Detroit, MI 48219 | 2016-08-31 |
| 1114379773 | Audrey Hopkins | Licensed Practical Nurse | 20277 Redfren, Detroit, MI 48219 | 2016-07-07 |
| 1649628785 | Erin Bianco | Social Worker | 17321 Telegraph Rd., Detroit, MI 48219 | 2016-05-31 |
| 1144674664 | Lucinda Galmon-wallace | Technician, Other | 24424 Telegraph Road, Detroit, MI 48219 | 2016-04-21 |
| 1598120925 | Faith's Place LLC | Psychiatric Residential Treatment Facility | 16725 Blackstone Street, Detroit, MI 48219 | 2015-12-30 |
| Find all providers in zip 48219 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244731 | Better Days Counseling, Pllc | Counselor | 13501 Schaefer Hwy, Detroit, MI 48227-3538 | 2020-08-08 |
| 1174144281 | Jasmine Noble | Counselor | 1535 Franklin St Apt 201, Detroit, MI 48207-4056 | 2020-04-29 |
| 1306473145 | Julie Weatherhead | Counselor | 1624 Estates Dr, Detroit, MI 48206-2814 | 2020-03-23 |
| 1972134591 | Tanya Bankston | Counselor | 4221 Moran St, Detroit, MI 48207-1705 | 2020-02-01 |
| 1871124768 | Andrew Todd Henderson | Counselor | 1 Detroit Metro Airport, Detroit, MI 48242-1004 | 2020-01-29 |
| 1922561059 | Odis Bellinger | Counselor | 440 Burroughs St Ste 149, Detroit, MI 48202-3429 | 2019-04-06 |
| 1245799469 | Zipporah K Bolar Sr. | Counselor | 2900 Conner St Bldg A, Detroit, MI 48215-2407 | 2019-03-18 |
| 1215493549 | Sammie Edwards | Counselor | 15734 Sussex St, Detroit, MI 48227 | 2019-02-12 |
| 1942764329 | Crystal Jean Oliver | Counselor | 13770 Mecca St., Detroit, MI 48227-3025 | 2019-01-30 |
| 1922577246 | Sheila Marie Cheeks | Counselor | 1600 Pingree St, Detroit, MI 48206-2436 | 2018-11-15 |
| Find all providers in DETROIT | ||||
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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.