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TIFFANY JOHNSON C-SAC
NPI 1245842046
Counselor - Addiction (Substance Use Disorder) in Superior, WI

Active since August 21, 2020
2222 E 5TH ST, SUPERIOR, WI 54880(715) 392-1955(715) 392-1935 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 14, 2024, Feb 14, 2023, Oct 15, 2021 and 1 more (4 updates tracked since 2020).

About Tiffany Johnson C-sac NPPES

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

TIFFANY JOHNSON C-SAC (NPI 1245842046) is an individual addiction (substance use disorder) provider in Superior, Wisconsin, licensed in Wisconsin (17142-32) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1245842046
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTIFFANY JOHNSONCredential: C-SAC
Location Address2222 E 5TH STSuperior, WI 54880-3709
Mailing Address2222 E 5th StSuperior, WI 54880-3709 · (715) 392-1955 · Fax (715) 392-1935
Phone(715) 392-1955
Fax(715) 392-1935
Sole ProprietorNo
Enumeration DateAugust 21, 2020
Last NPPES UpdateJune 14, 20244 updates tracked since enumeration
NPPES CertifiedJune 14, 2024
✔ NPI 1245842046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 17142-32
2222 E 5TH ST, Superior, WI 54880
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Security Health Plan.Insurance ›

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.

PENNY JO WALDUM RN
Registered Nurse
2222 E 5TH ST
SUPERIOR, WI 54880
Douglas County (715) 392-1955
HOLLY WOODHULL RN
Registered Nurse
2222 E 5TH ST
SUPERIOR, WI 54880
Douglas County (715) 392-1955
LAKE SUPERIOR COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
2222 E 5TH ST
SUPERIOR, WI 54880
Douglas County (715) 392-1955
BLAIRE MARIE HYSJULIEN LCSW
Social Worker (Clinical)
2222 E 5TH ST
SUPERIOR, WI 54880
Douglas County (715) 395-5393
DR. MITCHELL LEE TSCHAKERT DDS
Dentist (General Practice)
2222 E 5TH ST
SUPERIOR, WI 54880
Douglas County (715) 394-5411
JACQUELYN K. LINDBERG LPC
Counselor (Professional)
2222 E 5TH ST
SUPERIOR, WI 54880
Douglas County (715) 392-1955
MS. CRYSTAL M NORRIS SAC-IT
Case Manager/Care Coordinator
2222 E 5TH ST
SUPERIOR, WI 54880
Douglas County (715) 392-1955
MRS. LAUREN ZAKOWITZ LPC-IT
Counselor (Professional)
2222 E 5TH ST
SUPERIOR, WI 54880
Douglas County (715) 392-1955

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 1245842046. It was assigned to this individual provider in the NPPES registry on August 21, 2020.

Where is Tiffany Johnson located?

Tiffany Johnson practices at 2222 E 5th St, Superior, WI 54880. The listed phone number is (715) 392-1955.

What is Tiffany Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Tiffany Johnson accept?

Health plans from Security Health Plan list Tiffany Johnson 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 Johnson was last updated on June 14, 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.