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TIFFANY CAMPBELL
NPI 1245918093
Counselor - Addiction (Substance Use Disorder) in Pocatello, ID

Active since July 10, 2023PECOS Enrolled
1001 N 7TH AVE STE 260, POCATELLO, ID 83201(208) 223-1309 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tiffany Campbell NPPES

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

TIFFANY CAMPBELL (NPI 1245918093) is an individual addiction (substance use disorder) provider in Pocatello, Idaho, licensed in Idaho (LPC-9614) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245918093
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTIFFANY CAMPBELL
Location Address1001 N 7TH AVE STE 260Pocatello, ID 83201-5788
Mailing Address1001 N 7th Ave Ste 260Pocatello, ID 83201-5788 · (208) 223-1309
Phone(208) 223-1309
Sole ProprietorNo
Enumeration DateJuly 10, 2023
NPPES CertifiedJuly 10, 2023
✔ NPI 1245918093 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 ID · LPC-9614
1001 N 7TH AVE STE 260, Pocatello, ID 83201
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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 Campbell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MYA S MITTON
Social Worker
1001 N 7TH AVE STE 260
POCATELLO, ID 83201
Bannock County (208) 242-9087
DANIEL HOLSTEN CADC
Counselor (Addiction (Substance Use Disorder))
1001 N 7TH AVE STE 260
POCATELLO, ID 83201
Bannock County (208) 242-9087
STEPHANIE MCBRIDE CADC
Counselor
1001 N 7TH AVE STE 260
POCATELLO, ID 83201
Bannock County (208) 242-8249
DIANA CHAVEZ LMSW
Social Worker
1001 N 7TH AVE STE 260
POCATELLO, ID 83201
Bannock County (208) 242-9028
D6 TREATMENT
Counselor (Addiction (Substance Use Disorder))
1001 N 7TH AVE STE 260
POCATELLO, ID 83201
Bannock County (208) 242-9087
NICHOLAS EVANS LSW
Social Worker
1001 N 7TH AVE STE 260
POCATELLO, ID 83201
Bannock County (208) 515-1668
LAURI EVANS MSW
Social Worker
1001 N 7TH AVE STE 260
POCATELLO, ID 83201
Bannock County (208) 242-9087
DAVID MICHAEL HEAVEN
Counselor (Addiction (Substance Use Disorder))
1001 N 7TH AVE STE 260
POCATELLO, ID 83201
Bannock County (208) 242-9087

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 Campbell's NPI number?

The NPI number for Tiffany Campbell is 1245918093. It was assigned to this individual provider in the NPPES registry on July 10, 2023.

Where is Tiffany Campbell located?

Tiffany Campbell practices at 1001 N 7th Ave Ste 260, Pocatello, ID 83201. The listed phone number is (208) 223-1309.

What is Tiffany Campbell's specialty?

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

Is Tiffany Campbell enrolled in Medicare?

Yes. Tiffany Campbell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tiffany Campbell was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.