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MS. TIFFANI VENIGEE FRYAR LPC
NPI 1043775810
Counselor - Professional in Carrollton, GA

Active since February 06, 2019PECOS Enrolled
2032 MAPLE ST, CARROLLTON, GA 30117(678) 890-6127 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2024, Dec 9, 2022, Feb 6, 2019 (3 updates tracked since 2019).

About Ms. Tiffani Venigee Fryar Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TIFFANI VENIGEE FRYAR LPC (NPI 1043775810) is an individual professional provider in Carrollton, Georgia, licensed in Georgia (LPC005204) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Carrollton.

NPPES Registry Identity

NPI1043775810
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. TIFFANI VENIGEE FRYARCredential: LPC
Location Address2032 MAPLE STCarrollton, GA 30117
Mailing Address297 New Chapel RdWhitesburg, GA 30185-2803 · (678) 890-6127
Phone(678) 890-6127
Sole ProprietorYes
Enumeration DateFebruary 6, 2019
Last NPPES UpdateJuly 10, 20243 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1043775810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC005204
2032 MAPLE ST, Carrollton, GA 30117
Open in Google Maps ↗

Secondary Practice Location 1

Location 1206 Bankhead HwyCarrollton, GA 30117-3455 · Phone (678) 890-6127

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Tiffani Venigee Fryar Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUTHENTIC SPIRIT COUNSELING SERVICES
Counselor (Professional)
2032 MAPLE ST
CARROLLTON, GA 30117
Carroll County (678) 890-6127
MARY L GODARD
Counselor (Professional)
2032 MAPLE ST
CARROLLTON, GA 30117
Carroll County (470) 729-0717

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffani Fryar's NPI number?

The NPI number for Tiffani Fryar is 1043775810. It was assigned to this individual provider in the NPPES registry on February 6, 2019.

Where is Tiffani Fryar located?

Tiffani Fryar practices at 2032 Maple St, Carrollton, GA 30117. The listed phone number is (678) 890-6127.

What is Tiffani Fryar's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Tiffani Fryar enrolled in Medicare?

Yes. Tiffani Fryar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tiffani Fryar was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.