TIFFANY RENATE KILROY LMHC
NPI 1679104343
Counselor - Professional in Portage, IN

Active since January 30, 2020
55 SHORE DR, PORTAGE, IN 46368(219) 230-8311 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 16, 2023, Jun 28, 2021, Jan 30, 2020 (3 updates tracked since 2020).

About Tiffany Renate Kilroy Lmhc NPPES

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

TIFFANY RENATE KILROY LMHC (NPI 1679104343) is an individual professional provider in Portage, Indiana, licensed in Indiana (39003699A) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1679104343
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTIFFANY RENATE KILROYCredential: LMHC
Location Address55 SHORE DRPortage, IN 46368-1008
Mailing Address709 Plaza Dr., Suite 2, Pmb 279Chesterton, IN 46304-1572 · (219) 230-8311
Sole ProprietorNo
Enumeration DateJanuary 30, 2020
Last NPPES UpdateNovember 16, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2023
NPI 1679104343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IN · 39003699A
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 39003699A (IN)
55 SHORE DR, Portage, IN 46368

Accepted Insurance

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Professional)
55 SHORE DR
PORTAGE, IN 46368

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679104343, enumerated as an "individual" on January 30, 2020.

The provider is located at 55 SHORE DR PORTAGE, IN 46368 and the phone number is (219) 230-8311.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.