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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TIFFANY SOMERVILLE LPC
NPI 1356064828
Counselor - Mental Health in Medford, OR

Active since September 20, 2022
328 S CENTRAL AVE STE 104, MEDFORD, OR 97501(541) 204-2376(541) 204-2376 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 14, 2026, Sep 20, 2022 (2 updates tracked since 2022).

About Tiffany Somerville Lpc NPPES

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

TIFFANY SOMERVILLE LPC (NPI 1356064828) is an individual mental health provider in Medford, Oregon and active in the NPI registry since September 2022. She maintains a secondary practice location in Alton.

NPPES Registry Identity

NPI1356064828
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTIFFANY SOMERVILLECredential: LPC
Location Address328 S CENTRAL AVE STE 104Medford, OR 97501-7274
Mailing Address328 S Central Ave Ste 104Medford, OR 97501-7274 · (541) 204-2376 · Fax (541) 204-2376
Phone(541) 204-2376
Fax(541) 204-2376
Sole ProprietorNo
Enumeration DateSeptember 20, 2022
Last NPPES UpdateAugust 14, 20262 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
✔ NPI 1356064828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
328 S CENTRAL AVE STE 104, Medford, OR 97501
Open in Google Maps ↗

Secondary Practice Location 1

Location 1307 Henry St Ste 100Alton, IL 62002-6326 · Phone (618) 288-8085 · Fax (618) 288-8959

Other Identifiers 1

Medicaid4A00-IPI-032IL

Other Providers at the Same Location NPPES

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

TARAH CLARKE
Massage Therapist
328 S CENTRAL AVE STE 104
MEDFORD, OR 97501
Jackson County (541) 671-7696

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 Somerville's NPI number?

The NPI number for Tiffany Somerville is 1356064828. It was assigned to this individual provider in the NPPES registry on September 20, 2022.

Where is Tiffany Somerville located?

Tiffany Somerville practices at 328 S Central Ave Ste 104, Medford, OR 97501. The listed phone number is (541) 204-2376.

What is Tiffany Somerville'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 Somerville was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.