TIFFANY N PAULLETTE LCPC
NPI 1538433354
Counselor - Professional in Chicago, IL

Active since February 24, 2012PECOS EnrolledAccepts Medicare Assignment
4058 W 115TH ST APT 112, CHICAGO, IL 60655(312) 620-0444 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tiffany N Paullette Lcpc NPPES

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

TIFFANY N PAULLETTE LCPC (NPI 1538433354) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180010094) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1538433354
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTIFFANY N PAULLETTECredential: LCPC
Location Address4058 W 115TH ST APT 112Chicago, IL 60655-4418
Mailing Address4058 W 115th St Apt 112Chicago, IL 60655-4418 · (773) 556-6322
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 24, 2012
Last NPPES UpdateDecember 2, 2025
NPPES CertifiedDecember 2, 2025
✔ NPI 1538433354 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 IL · 180010094
4058 W 115TH ST APT 112, Chicago, IL 60655

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 N Paullette 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 ID5991285967
PECOS Enrollment IDI20260218000794
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 Paullette reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
3450 OAKTON ST
Skokie, IL 60076
  • Reassigned Medicare billing, Illinois enrollment
  • 491 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.

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 Paullette's NPI number?

The NPI number for Tiffany Paullette is 1538433354. It was assigned to this individual provider in the NPPES registry on February 24, 2012.

Where is Tiffany Paullette located?

Tiffany Paullette practices at 4058 W 115th St Apt 112, Chicago, IL 60655. The listed phone number is (312) 620-0444.

What is Tiffany Paullette's specialty?

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

Is Tiffany Paullette enrolled in Medicare?

Yes. Tiffany Paullette 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 Paullette's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Paullette reassigns Medicare benefits to Vitae Health Medical Illinois, PLLC (Skokie, IL). 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 Paullette's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Paullette accept?

Health plans from Oscar Health list Tiffany Paullette 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 Paullette was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.