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TIFFANY LYNN SULLIVAN LPC
NPI 1093061285
Counselor - Professional in Mcdonough, GA

Active since July 25, 2012PECOS Enrolled
901 PAVILION CT, MCDONOUGH, GA 30253(678) 814-4375(678) 490-2361 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tiffany Lynn Sullivan Lpc NPPES

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

TIFFANY LYNN SULLIVAN LPC (NPI 1093061285) is an individual professional provider in Mcdonough, Georgia, licensed in Georgia (LPC007416) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093061285
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTIFFANY LYNN SULLIVANCredential: LPC
Location Address901 PAVILION CTMcdonough, GA 30253-6665
Mailing Address901 Pavilion CtMcdonough, GA 30253-6665 · (678) 814-4375 · Fax (678) 490-2361
Phone(678) 814-4375
Fax(678) 490-2361
Sole ProprietorYes
Enumeration DateJuly 25, 2012
Last NPPES UpdateJanuary 23, 2019
✔ NPI 1093061285 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 · LPC007416
901 PAVILION CT, Mcdonough, GA 30253
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Lynn Sullivan 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.

JOHN SULLIVAN LCSW
Counselor (Professional)
901 PAVILION CT
MCDONOUGH, GA 30253
Henry County (678) 814-4375
MINDFUL REALIZATIONS COUNSELING & CONSULTING LLC
Counselor (Professional)
901 PAVILION CT
MCDONOUGH, GA 30253
Henry County (678) 814-4375

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 Sullivan's NPI number?

The NPI number for Tiffany Sullivan is 1093061285. It was assigned to this individual provider in the NPPES registry on July 25, 2012.

Where is Tiffany Sullivan located?

Tiffany Sullivan practices at 901 Pavilion Ct, Mcdonough, GA 30253. The listed phone number is (678) 814-4375.

What is Tiffany Sullivan's specialty?

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

Is Tiffany Sullivan enrolled in Medicare?

Yes. Tiffany Sullivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tiffany Sullivan was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.