TIFFANY D BOONSTOPPEL
NPI 1194096388
Counselor - Mental Health in Cottage Grove, OR

Q: What is Tiffany Boonstoppel's NPI number?

The NPI number for Tiffany Boonstoppel is 1194096388. It was assigned to this individual provider in the NPPES registry on January 19, 2012.

Q: What is Tiffany Boonstoppel's specialty?

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

Active since January 19, 2012

1345 BIRCH AVE, COTTAGE GROVE, OR 97424(541) 942-3939(541) 942-9310 Get Directions Write a Review

NPPES record last updated: January 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tiffany D Boonstoppel NPPES

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

TIFFANY D BOONSTOPPEL (NPI 1194096388) is an individual mental health provider in Cottage Grove, Oregon and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1194096388

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameTIFFANY D BOONSTOPPEL

Location Address1345 BIRCH AVECottage Grove, OR 97424-1416

Mailing Address1345 Birch AveCottage Grove, OR 97424-1416 · (541) 942-3939 · Fax (541) 942-9310

Phone(541) 942-3939

Fax(541) 942-9310

Sole ProprietorNo

Enumeration DateJanuary 19, 2012

✔ NPI 1194096388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1345 BIRCH AVE, Cottage Grove, OR 97424

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Other Identifiers 1

Medicaid019047OR

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.

THERESE N MASTIN M.A., QMHP

Counselor (Professional)