TIFFANY SOMERVILLE
NPI 1356064828
Counselor - Mental Health in Glen Carbon, IL

Active since September 20, 2022
88 S MAIN ST, GLEN CARBON, IL 62034(618) 288-8085(618) 288-8959 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tiffany Somerville NPPES

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

TIFFANY SOMERVILLE (NPI 1356064828) is an individual mental health provider in Glen Carbon, Illinois 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 SOMERVILLE
Location Address88 S MAIN STGlen Carbon, IL 62034-1415
Mailing Address88 S Main StGlen Carbon, IL 62034-1415 · (618) 288-8085 · Fax (618) 288-8959
Fax(618) 288-8959
Sole ProprietorNo
Enumeration DateSeptember 20, 2022
NPPES CertifiedSeptember 20, 2022
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
88 S MAIN ST, Glen Carbon, IL 62034

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 20

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

Counselor (Mental Health)
88 S MAIN ST
GLEN CARBON, IL 62034
Counselor
88 S MAIN ST
GLEN CARBON, IL 62034
Counselor
88 S MAIN ST
GLEN CARBON, IL 62034
Counselor (Mental Health)
88 S MAIN ST
GLEN CARBON, IL 62034
Counselor
88 S MAIN ST
GLEN CARBON, IL 62034
Counselor (Mental Health)
88 S MAIN ST
GLEN CARBON, IL 62034
Counselor (Mental Health)
88 S MAIN ST
GLEN CARBON, IL 62034
Counselor
88 S MAIN ST
GLEN CARBON, IL 62034

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 88 S Main St, Glen Carbon, IL 62034. The listed phone number is (618) 288-8085.

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 September 20, 2022. 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.