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TIFFANY L. ICKES MHC
NPI 1336402171
Counselor - Mental Health in Portland, IN

Active since June 18, 2012
931 W WATER ST, PORTLAND, IN 47371(765) 288-1928(765) 741-0335 Get Directions Write a Review

NPPES record last updated: June 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tiffany L. Ickes Mhc NPPES

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

TIFFANY L. ICKES MHC (NPI 1336402171) is an individual mental health provider in Portland, Indiana and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1336402171
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTIFFANY L. ICKESCredential: MHC
Location Address931 W WATER STPortland, IN 47371-1755
Mailing Address240 N Tillotson AveMuncie, IN 47304-3988 · (765) 288-1928 · Fax (765) 741-0335
Phone(765) 288-1928
Fax(765) 741-0335
Sole ProprietorNo
Enumeration DateJune 18, 2012
✔ NPI 1336402171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
931 W WATER ST, Portland, IN 47371
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Other Providers at the Same Location NPPES 14

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

BRENDA PENSINGER LCSW
Social Worker (Clinical)
931 W WATER ST
PORTLAND, IN 47371
Jay County (765) 288-1928
STEPHANIE R SECULES MSW
Counselor (Mental Health)
931 W WATER ST
PORTLAND, IN 47371
Jay County (765) 288-1928
TONETTA MATTSON
Behavior Technician
931 W WATER ST
PORTLAND, IN 47371
Jay County (765) 288-1928
JAMIE THOBE
Social Worker
931 W WATER ST
PORTLAND, IN 47371
Jay County (260) 726-9348
BETSI GAGLE
Social Worker
931 W WATER ST
PORTLAND, IN 47371
Jay County (260) 726-9348
DAVID WATERS
Behavior Analyst
931 W WATER ST
PORTLAND, IN 47371
Jay County (260) 726-9348
MRS. TRICIA BLAKELY LCSW
Social Worker (Clinical)
931 W WATER ST
PORTLAND, IN 47371
Jay County (765) 288-1928
KELLI LARRABEE
Behavior Technician
931 W WATER ST
PORTLAND, IN 47371
Jay County (765) 288-1928

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 Ickes's NPI number?

The NPI number for Tiffany Ickes is 1336402171. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Where is Tiffany Ickes located?

Tiffany Ickes practices at 931 W Water St, Portland, IN 47371. The listed phone number is (765) 288-1928.

What is Tiffany Ickes's specialty?

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

When was this NPI record last updated?

The NPPES record for Tiffany Ickes was last updated on June 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.