TIFFANY A CRUZ MHP
NPI 1255904017
Counselor - Professional in Fairbury, IL

Active since July 20, 2021PECOS Enrolled
201 W WILLOW ST, FAIRBURY, IL 61739(361) 343-1372 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 20, 2026, Jun 27, 2024, Sep 10, 2021 and 1 more (4 updates tracked since 2021).

About Tiffany A Cruz Mhp NPPES

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

TIFFANY A CRUZ MHP (NPI 1255904017) is an individual professional provider in Fairbury, Illinois, licensed in Illinois (180.016688) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1255904017
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTIFFANY A CRUZCredential: MHP
Location Address201 W WILLOW STFairbury, IL 61739-1172
Mailing Address201 W Willow StFairbury, IL 61739-1172
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 20, 2021
Last NPPES UpdateJune 8, 20264 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
NPI 1255904017 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 IL · 180.016688
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
201 W WILLOW ST, Fairbury, IL 61739

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 A Cruz Mhp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476020041
PECOS Enrollment IDI20260430004155
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 Cruz's NPI number?

The NPI number for Tiffany Cruz is 1255904017. It was assigned to this individual provider in the NPPES registry on July 20, 2021.

Where is Tiffany Cruz located?

Tiffany Cruz practices at 201 W Willow St, Fairbury, IL 61739. The listed phone number is (361) 343-1372.

What is Tiffany Cruz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Tiffany Cruz enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tiffany Cruz was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.