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TIFFANY JEAN MARTIN LPCC-S
NPI 1548489172
Counselor - Professional in Canton, OH

Active since April 24, 2007PECOS Enrolled
4641 FULTON DR NW, CANTON, OH 44718(330) 433-6075 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 30, 2026, Jan 8, 2026 (2 updates tracked since 2026).

About Tiffany Jean Martin Lpcc-s NPPES

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

TIFFANY JEAN MARTIN LPCC-S (NPI 1548489172) is an individual professional provider in Canton, Ohio, licensed in Ohio (E.2001896-SUPV) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1548489172
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTIFFANY JEAN MARTINCredential: LPCC-S
Location Address4641 FULTON DR NWCanton, OH 44718-2384
Mailing Address4641 Fulton Dr NwCanton, OH 44718-2384 · (330) 433-6075
Phone(330) 433-6075
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 24, 2007
Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1548489172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E.2001896-SUPV
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License E.2001896-SUPV (OH)
4641 FULTON DR NW, Canton, OH 44718
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Other Names 1

Former Name (1)Tiffany Mckinney

Secondary Practice Locations 3

Location 11801 Schneider St NECanton, OH 44721-3349 · Phone (330) 470-4061 · Fax (330) 470-4061
Location 2919 2nd St NECanton, OH 44704-1132 · Phone (330) 454-7917
Location 3405 S Linden AveAlliance, OH 44601-3035 · Phone (330) 433-6075

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, Oscar Health Insurance and more.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 Jean Martin Lpcc-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769968320
PECOS Enrollment IDI20260113003910
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 Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Child And Adolescent Behavioral Health
Same address
Community/Behavioral Health
4641 FULTON DR NW
Canton, OH 44718
  • Reassigned Medicare billing, Ohio enrollment
  • 21 clinicians in this Medicare group
NPI 1831172576 (330) 433-6075

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 20

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

HEATHER ANNE STRANGE
Community Health Worker
4641 FULTON DR NW
CANTON, OH 44718
Stark County (330) 433-6075
CRAIG DENNIS KING RN, APRN
Nurse Practitioner (Psychiatric/Mental Health)
4641 FULTON DR NW
CANTON, OH 44718
Stark County (330) 433-6075
DR. CYNTHIA K HA PH.D.
Student in an Organized Health Care Education/Training Program
4641 FULTON DR NW
CANTON, OH 44718
Stark County (330) 433-6075
EMMA JOAN FARKAS PSY.D.
Psychologist (Clinical)
4641 FULTON DR NW
CANTON, OH 44718
Stark County (330) 433-6075
LORNA O'DELL WRIGHT PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4641 FULTON DR NW
CANTON, OH 44718
Stark County (330) 433-6075
ELLEN HOMLONG PC, RD,LD,CDE
Counselor (Professional)
4641 FULTON DR NW
CANTON, OH 44718
Stark County (330) 433-6075
ZIPPORAH MOORE
Case Manager/Care Coordinator
4641 FULTON DR NW
CANTON, OH 44718
Stark County (330) 433-6075
ASHLEY E POKLAR MED
Student in an Organized Health Care Education/Training Program
4641 FULTON DR NW
CANTON, OH 44718
Stark County (330) 433-6075

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 Martin's NPI number?

The NPI number for Tiffany Martin is 1548489172. It was assigned to this individual provider in the NPPES registry on April 24, 2007. The provider is also known as Tiffany Mckinney.

Where is Tiffany Martin located?

Tiffany Martin practices at 4641 Fulton Dr NW, Canton, OH 44718. The listed phone number is (330) 433-6075.

What is Tiffany Martin's specialty?

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

Is Tiffany Martin enrolled in Medicare?

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

Which organization bills Medicare for Tiffany Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Martin reassigns Medicare benefits to Child And Adolescent Behavioral Health (Canton, OH). 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 Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Martin accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Tiffany Martin 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 Martin was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.