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TIFFANY M PAGE ACMHC
NPI 1104632207
Counselor - Mental Health in Bountiful, UT

Active since December 04, 2024Opted out of Medicare · through Jun 17, 2028
1459 N MAIN ST # 101, BOUNTIFUL, UT 84010(385) 600-6365 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Tiffany M Page Acmhc NPPES

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

TIFFANY M PAGE ACMHC (NPI 1104632207) is an individual mental health provider in Bountiful, Utah, licensed in Utah (139986786009) and active in the NPI registry since December 2024. She has opted out of Medicare through June 17, 2028.

NPPES Registry Identity

NPI1104632207
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTIFFANY M PAGECredential: ACMHC
Location Address1459 N MAIN ST # 101Bountiful, UT 84010-6092
Mailing Address1152 W 2450 NClinton, UT 84015-9194 · (801) 644-3778
Phone(385) 600-6365
Sole ProprietorNo
Enumeration DateDecember 4, 2024
NPPES CertifiedDecember 4, 2024
✔ NPI 1104632207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in UT · 139986786009
1459 N MAIN ST # 101, Bountiful, UT 84010
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tiffany M Page Acmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 17, 2026 through June 17, 2028.

Opt-Out Effective DateJune 17, 2026
Opt-Out In Effect ThroughJune 17, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Page's NPI number?

The NPI number for Tiffany Page is 1104632207. It was assigned to this individual provider in the NPPES registry on December 4, 2024.

Where is Tiffany Page located?

Tiffany Page practices at 1459 N Main St # 101, Bountiful, UT 84010. The listed phone number is (385) 600-6365.

What is Tiffany Page's specialty?

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

Is Tiffany Page enrolled in Medicare?

No. Tiffany Page has opted out of Medicare through June 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Tiffany Page was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.