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MRS. TIFFANY MONIQUE MARTIN
NPI 1144861808
Marriage & Family Therapist in Fremont, CA

Active since October 03, 2019PECOS Enrolled
39159 PASEO PADRE PKWY STE 121, FREMONT, CA 94538(510) 952-1190 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 1, 2025, Nov 24, 2025, Oct 3, 2019 (3 updates tracked since 2019).

About Mrs. Tiffany Monique Martin NPPES

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

MRS. TIFFANY MONIQUE MARTIN (NPI 1144861808) is an individual marriage & family therapist in Fremont, California, licensed in California (159068) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1144861808
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. TIFFANY MONIQUE MARTIN
Location Address39159 PASEO PADRE PKWY STE 121Fremont, CA 94538-1600
Mailing AddressPo Box 1735Perris, CA 92572-1735 · (951) 394-3736
Phone(510) 952-1190
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 3, 2019
Last NPPES UpdateDecember 1, 20253 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
✔ NPI 1144861808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 159068
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
39159 PASEO PADRE PKWY STE 121, Fremont, CA 94538
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tiffany Monique Martin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759877236
PECOS Enrollment IDI20260105002523
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.

Medicare Billing Reassignment

Medicare enrollment records show Tiffany Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sud Specialty Group - Ca
11 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

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 20

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

MARIA PRECIADO-RODRIGUEZ PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
39159 PASEO PADRE PKWY STE 121
FREMONT, CA 94538
Alameda County (510) 952-1190
NUTSA KHAKHIASHVILI AMFT
Marriage & Family Therapist
39159 PASEO PADRE PKWY STE 121
FREMONT, CA 94538
Alameda County (544) 928-7954
ESTHER KANG
Counselor (Mental Health)
39159 PASEO PADRE PKWY STE 121
FREMONT, CA 94538
Alameda County (510) 952-1190
STEPHANIE CARTER
Social Worker (Clinical)
39159 PASEO PADRE PKWY STE 121
FREMONT, CA 94538
Alameda County (858) 228-7667
GENISIS SARAHI FRANCO ALVAREZ LPCC
Counselor (Professional)
39159 PASEO PADRE PKWY STE 121
FREMONT, CA 94538
Alameda County (510) 952-1190
MONIQUE TONYA ORDONE
Marriage & Family Therapist
39159 PASEO PADRE PKWY STE 121
FREMONT, CA 94538
Alameda County (510) 952-1190
GABRIELA CARINA DELGADO LMFT
Marriage & Family Therapist
39159 PASEO PADRE PKWY STE 121
FREMONT, CA 94538
Alameda County (510) 952-1190
YASEMINE DARWISH
Social Worker
39159 PASEO PADRE PKWY STE 121
FREMONT, CA 94538
Alameda County (510) 952-1190

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 Martin's NPI number?

The NPI number for Tiffany Martin is 1144861808. It was assigned to this individual provider in the NPPES registry on October 3, 2019.

Where is Tiffany Martin located?

Tiffany Martin practices at 39159 Paseo Padre Pkwy Ste 121, Fremont, CA 94538. The listed phone number is (510) 952-1190.

What is Tiffany Martin's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Tiffany Martin enrolled in Medicare?

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

Which organization bills Medicare for Tiffany Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Martin reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). 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 Martin'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 Martin was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.