TIFFANY NICOLE CRUEL LPC
NPI 1518667666
Counselor - Professional in Fayette, MS

Active since March 07, 2023PECOS Enrolled
870 MAIN ST, FAYETTE, MS 39069(601) 786-3401(601) 786-3400 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tiffany Nicole Cruel Lpc NPPES

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

TIFFANY NICOLE CRUEL LPC (NPI 1518667666) is an individual professional provider in Fayette, Mississippi, licensed in Mississippi (2913) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518667666
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTIFFANY NICOLE CRUELCredential: LPC
Location Address870 MAIN STFayette, MS 39069-5695
Mailing AddressPo Box 870Fayette, MS 39069-0870 · (601) 532-0995
Fax(601) 786-3400
Sole ProprietorNo
Enumeration DateMarch 7, 2023
NPPES CertifiedMarch 7, 2023
✔ NPI 1518667666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MS · 2913
870 MAIN ST, Fayette, MS 39069

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Nicole Cruel Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Tiffany Cruel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
2045 HIGHWAY 61 NORTH
Port Gibson, MS 39150
  • Reassigned Medicare billing, Mississippi enrollment
  • 10 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.

Nurse Practitioner (Family)
870 MAIN ST
FAYETTE, MS 39069
Physical Therapist
870 MAIN ST
FAYETTE, MS 39069
Psychiatric Unit
870 MAIN ST
FAYETTE, MS 39069
Clinic/Center (Multi-Specialty)
870 MAIN ST
FAYETTE, MS 39069

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 Cruel's NPI number?

The NPI number for Tiffany Cruel is 1518667666. It was assigned to this individual provider in the NPPES registry on March 7, 2023.

Where is Tiffany Cruel located?

Tiffany Cruel practices at 870 Main St, Fayette, MS 39069. The listed phone number is (601) 786-3401.

What is Tiffany Cruel's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Tiffany Cruel enrolled in Medicare?

Yes. Tiffany Cruel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tiffany Cruel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Cruel reassigns Medicare benefits to Claiborne County Family Health Center (Port Gibson, MS). 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 Cruel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Cruel accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Tiffany Cruel 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 Cruel was last updated on March 7, 2023. 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.