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DR. TIFFANY WYNN PHD, LPCC
NPI 1225404437
Counselor - Professional in Albuquerque, NM

Active since August 12, 2015PECOS EnrolledAccepts Medicare Assignment
2727 SAN PEDRO DR NE STE 110, ALBUQUERQUE, NM 87110(505) 670-7765 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 29, 2024, Dec 28, 2022 (2 updates tracked since 2022).

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

NPI1225404437
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. TIFFANY WYNNCredential: PHD, LPCC
Location Address2727 SAN PEDRO DR NE STE 110Albuquerque, NM 87110-3373
Mailing Address300 Menaul Blvd Nw # 2360Albuquerque, NM 87107-1322 · (505) 670-7765
Phone(505) 670-7765
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 12, 2015
Last NPPES UpdateJuly 29, 20242 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1225404437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NM · CCMH0203641
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License CCMH0203641 (NM)
2727 SAN PEDRO DR NE STE 110, Albuquerque, NM 87110
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Secondary Practice Location 1

Location 11524 bishops lodge rd, #Btesuque, NM 87506 · Phone (505) 490-3547

Other Identifiers 2

Medicaid32475764NM
Medicaid66738342NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID9436696804
PECOS Enrollment IDI20240802001541
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.

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.

What insurance does Tiffany Wynn accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Tiffany Wynn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tiffany Wynn was last updated on July 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.