TIFFANY JOHNSON
NPI 1215636683
Counselor - Mental Health in Eau Claire, WI
About Tiffany Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIFFANY JOHNSON (NPI 1215636683) is an individual mental health provider in Eau Claire, Wisconsin, licensed in Wisconsin (7730-226) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
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 Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 Johnson's NPI number?
The NPI number for Tiffany Johnson is 1215636683. It was assigned to this individual provider in the NPPES registry on February 24, 2023.
Where is Tiffany Johnson located?
Tiffany Johnson practices at 120 S Barstow St, Eau Claire, WI 54701. The listed phone number is (715) 210-2522.
What is Tiffany Johnson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Tiffany Johnson enrolled in Medicare?
Yes. Tiffany Johnson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Tiffany Johnson was last updated on October 23, 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.
# Tiffany Johnson · NPI 1215636683
Mental Health provider in Eau Claire, Wisconsin. Individual provider, active in the CMS NPPES registry since February 24, 2023.
## Identity
- **NPI:** 1215636683 (Entity type: Individual)
- **Enumerated:** February 24, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 7730-226 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 120 S BARSTOW ST, Eau Claire, WI 54701-3642
- **Phone:** (715) 210-2522
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** October 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1215636683) · Data from the CMS NPPES public registry.