TIFFANY ANN BASCOM LCPC
NPI 1487701058
Counselor - Mental Health in Pocatello, ID

Active since January 04, 2007PECOS EnrolledAccepts Medicare Assignment
2520 S 5TH AVE, POCATELLO, ID 83204(208) 233-5433 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1487701058
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTIFFANY ANN BASCOMCredential: LCPC
Location Address2520 S 5TH AVEPocatello, ID 83204-1923
Mailing Address2520 S 5th AvePocatello, ID 83204-1923 · (208) 233-5433 · Fax (208) 284-2783
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJanuary 4, 2007
Last NPPES UpdateDecember 18, 2023
NPPES CertifiedDecember 14, 2023
NPI 1487701058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in ID · LCPC-3801
2520 S 5TH AVE, Pocatello, ID 83204

Secondary Practice Location 1

Location 1500 S 11th Ave, Suite 302Pocatello, ID 83201-4835 · Phone (208) 233-0150 · Fax (208) 233-0159

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

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.

PECOS PAC ID8527419308
PECOS Enrollment IDI20240105000876
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 4

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

Counselor (Mental Health)
2520 S 5TH AVE
POCATELLO, ID 83204
Physician Assistant
2520 S 5TH AVE
POCATELLO, ID 83204
Social Worker
2520 S 5TH AVE
POCATELLO, ID 83204
Social Worker
2520 S 5TH AVE
POCATELLO, ID 83204

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.

What insurance does Tiffany Bascom accept?

Health plans from Moda Health Plan, Inc. and PacificSource 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.