TIFFANY ANN BASCOM LCPC
NPI 1487701058
Counselor - Mental Health in Pocatello, ID
About Tiffany Ann Bascom Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIFFANY ANN BASCOM LCPC (NPI 1487701058) is an individual mental health provider in Pocatello, Idaho, licensed in Idaho (LCPC-3801) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pocatello, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tiffany Ann Bascom Lcpc 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.
Medicare Billing Reassignment
Medicare enrollment records show Tiffany Bascom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pocatello, ID 83201
- Reassigned Medicare billing, Idaho enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Bascom's NPI number?
The NPI number for Tiffany Bascom is 1487701058. It was assigned to this individual provider in the NPPES registry on January 4, 2007.
Where is Tiffany Bascom located?
Tiffany Bascom practices at 2520 S 5th Ave, Pocatello, ID 83204. The listed phone number is (208) 233-5433.
What is Tiffany Bascom's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Tiffany Bascom enrolled in Medicare?
Yes. Tiffany Bascom 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.
Which organization bills Medicare for Tiffany Bascom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Bascom reassigns Medicare benefits to Life Change Associates, PC (Pocatello, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tiffany Bascom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tiffany Bascom accept?
Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Select Health and University of Utah Health Plans list Tiffany Bascom 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 Bascom was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Tiffany Ann Bascom, LCPC · NPI 1487701058
Mental Health provider in Pocatello, Idaho. Individual provider, active in the CMS NPPES registry since January 4, 2007.
## Identity
- **NPI:** 1487701058 (Entity type: Individual)
- **Enumerated:** January 4, 2007
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LCPC-3801 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 2520 S 5TH AVE, Pocatello, ID 83204-1923
- **Phone:** (208) 233-5433
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Life Change Associates, PC (NPI 1598077562, Pocatello, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** December 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1487701058) · Data from the CMS NPPES public registry.