TIFFANY ROSE ALLEN MA, LMFT
NPI 1104545151
Counselor - Mental Health in Bloomington, MN
About Tiffany Rose Allen Ma, Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIFFANY ROSE ALLEN MA, LMFT (NPI 1104545151) is an individual mental health provider in Bloomington, Minnesota and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tiffany Rose Allen Ma, Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tiffany Allen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Savage, MN 55378
- Reassigned Medicare billing, Minnesota enrollment
- 14 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLOOMINGTON, MN 55431
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 Allen's NPI number?
The NPI number for Tiffany Allen is 1104545151. It was assigned to this individual provider in the NPPES registry on August 23, 2022.
Where is Tiffany Allen located?
Tiffany Allen practices at 8120 Penn Ave S, Bloomington, MN 55431. The listed phone number is (612) 965-2545.
What is Tiffany Allen's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Tiffany Allen enrolled in Medicare?
Yes. Tiffany Allen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tiffany Allen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Allen reassigns Medicare benefits to Serenity Behavioral Health & Wellness LLC (Savage, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tiffany Allen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tiffany Allen was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Tiffany Rose Allen, MA, LMFT · NPI 1104545151
Mental Health provider in Bloomington, Minnesota. Individual provider, active in the CMS NPPES registry since August 23, 2022.
## Identity
- **NPI:** 1104545151 (Entity type: Individual)
- **Enumerated:** August 23, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8120 PENN AVE S, Bloomington, MN 55431-1358
- **Phone:** (612) 965-2545
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Serenity Behavioral Health & Wellness LLC (NPI 1750999546, Savage, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2026
- **Other identifiers:** Medicaid 101YM0800X (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1104545151) · Data from the CMS NPPES public registry.