DR. TIFFANY WYNN PHD, LPCC
NPI 1225404437
Counselor - Professional in Albuquerque, NM
About Dr. Tiffany Wynn Phd, Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIFFANY WYNN PHD, LPCC (NPI 1225404437) is an individual professional provider in Albuquerque, New Mexico, licensed in New Mexico (CCMH0203641) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tesuque, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Tiffany Wynn Phd, Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Tiffany Wynn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
- Reassigned Medicare billing, New Mexico enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Wynn's NPI number?
The NPI number for Tiffany Wynn is 1225404437. It was assigned to this individual provider in the NPPES registry on August 12, 2015.
Where is Tiffany Wynn located?
Tiffany Wynn practices at 2727 San Pedro Dr NE Ste 110, Albuquerque, NM 87110. The listed phone number is (505) 670-7765.
What is Tiffany Wynn's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Tiffany Wynn enrolled in Medicare?
Yes. Tiffany Wynn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Tiffany Wynn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Wynn reassigns Medicare benefits to New Experiences Counseling And Consultation, LLC (NM). 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 Wynn'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 Wynn was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Dr. Tiffany Wynn, PHD, LPCC · NPI 1225404437
Professional provider in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since August 12, 2015.
## Identity
- **NPI:** 1225404437 (Entity type: Individual)
- **Enumerated:** August 12, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** CCMH0203641 (New Mexico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2727 SAN PEDRO DR NE STE 110, Albuquerque, NM 87110-3373
- **Phone:** (505) 670-7765
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** New Experiences Counseling And Consultation, LLC (NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 29, 2024
- **Other identifiers:** Medicaid 32475764 (NM); Medicaid 66738342 (NM)
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Source: [NPI Profile](https://npiprofile.com/npi/1225404437) · Data from the CMS NPPES public registry.