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TIFFANY BOUCHARD MS, NCC
NPI 1053759944
Counselor - Mental Health in Dallas, OR

Active since June 12, 2013
182 SW ACADEMY ST, COUNTY OF POLK, SUITE 220, DALLAS, OR 97338(503) 623-9317 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tiffany Bouchard Ms, Ncc NPPES

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

TIFFANY BOUCHARD MS, NCC (NPI 1053759944) is an individual mental health provider in Dallas, Oregon and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1053759944
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTIFFANY BOUCHARDCredential: MS, NCC
Location Address182 SW ACADEMY ST, COUNTY OF POLK, SUITE 220Dallas, OR 97338-1922
Mailing AddressPo Box 421Monmouth, OR 97361-0421
Phone(503) 623-9317
Sole ProprietorNo
Enumeration DateJune 12, 2013
✔ NPI 1053759944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · SchoolTaxonomy 101YS0200X
182 SW ACADEMY ST, Dallas, OR 97338
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Other Identifiers 1

Medicaid152660OR

Other Providers at the Same Location NPPES 20

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

JESSICA LYNN DAVIDSON
Case Manager/Care Coordinator
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 623-9289
ROBERT AUSTIN ZEPEDA
Peer Specialist
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 962-3928
KIMBERLY DAWN HOWARD QMHA
Counselor
182 SW ACADEMY ST, SUITE 304
DALLAS, OR 97338
Polk County (503) 623-9289
JEDONNE JORSTAD BA
Counselor (Mental Health)
182 SW ACADEMY ST, STE 304
DALLAS, OR 97338
Polk County (503) 623-9289
MELANIE MYERS M.S.
Social Worker
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 831-5970
ZACHARY BEELER
Counselor (Mental Health)
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 623-9289
LINNEA BAKER
Peer Specialist
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 623-9289
SUSAN MARIE KLEIN
Counselor (Addiction (Substance Use Disorder))
182 SW ACADEMY ST, SUITE 304
DALLAS, OR 97338
Polk County (503) 623-9289

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 Tiffany Bouchard's NPI number?

The NPI number for Tiffany Bouchard is 1053759944. It was assigned to this individual provider in the NPPES registry on June 12, 2013.

Where is Tiffany Bouchard located?

Tiffany Bouchard practices at 182 SW Academy St County Of Polk, Suite 220, Dallas, OR 97338. The listed phone number is (503) 623-9317.

What is Tiffany Bouchard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Tiffany Bouchard was last updated on June 12, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.