DR. TIFFANY PERRY-WILSON PHD, LPC, LCPC, NCC
NPI 1265920219
Counselor - Mental Health in Waldorf, MD

Active since April 25, 2018PECOS EnrolledAccepts Medicare Assignment
173 SAINT PATRICKS DR STE 104, WALDORF, MD 20603(571) 474-2750 Get Directions Write a Review

NPPES record last updated: May 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 31, 2026, Jul 9, 2025, Apr 25, 2018 (3 updates tracked since 2018).

About Dr. Tiffany Perry-wilson Phd, Lpc, Lcpc, Ncc NPPES

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

DR. TIFFANY PERRY-WILSON PHD, LPC, LCPC, NCC (NPI 1265920219) is an individual mental health provider in Waldorf, Maryland and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1265920219
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. TIFFANY PERRY-WILSONCredential: PHD, LPC, LCPC, NCC
Location Address173 SAINT PATRICKS DR STE 104Waldorf, MD 20603-5530
Mailing Address173 Saint Patricks Dr Ste 104Waldorf, MD 20603-5530 · (571) 474-2750
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 25, 2018
Last NPPES UpdateMay 31, 20263 updates tracked since enumeration
NPPES CertifiedMay 31, 2026
NPI 1265920219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
173 SAINT PATRICKS DR STE 104, Waldorf, MD 20603

Accepted 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 Perry-wilson Phd, Lpc, Lcpc, Ncc 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 ID9830610328
PECOS Enrollment IDI20250313001217
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 12

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

Nurse Practitioner (Women's Health)
173 SAINT PATRICKS DR STE 104
WALDORF, MD 20603
Nurse Practitioner (Women's Health)
173 SAINT PATRICKS DR STE 104
WALDORF, MD 20603
Technician, Pathology (Phlebotomy)
173 SAINT PATRICKS DR STE 104
WALDORF, MD 20603
Nurse Practitioner
173 SAINT PATRICKS DR STE 104
WALDORF, MD 20603
Nurse Practitioner
173 SAINT PATRICKS DR STE 104
WALDORF, MD 20603
Nurse Practitioner (Gerontology)
173 SAINT PATRICKS DR STE 104
WALDORF, MD 20603
Nurse Practitioner (Family)
173 SAINT PATRICKS DR STE 104
WALDORF, MD 20603
Marriage & Family Therapist
173 SAINT PATRICKS DR STE 104
WALDORF, MD 20603

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 Perry-wilson's NPI number?

The NPI number for Tiffany Perry-wilson is 1265920219. It was assigned to this individual provider in the NPPES registry on April 25, 2018.

Where is Tiffany Perry-wilson located?

Tiffany Perry-wilson practices at 173 Saint Patricks Dr Ste 104, Waldorf, MD 20603. The listed phone number is (571) 474-2750.

What is Tiffany Perry-wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tiffany Perry-wilson enrolled in Medicare?

Yes. Tiffany Perry-wilson 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 Perry-wilson accept?

Health plans from Blue Cross and Blue Shield of Texas list Tiffany Perry-wilson 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 Perry-wilson was last updated on May 31, 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.