TIFFANY LEWIS
NPI 1598280679
Counselor - Professional in Chicago, IL

Active since August 09, 2017PECOS Enrolled
6009 S LAFLIN ST, CHICAGO, IL 60636(708) 632-1090 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 6, 2024, Jun 28, 2024, Jan 8, 2023 and 2 more (5 updates tracked since 2017).

  • Individual
  • Female
  • Counselor
  • Professional
  • PECOS Enrolled

About TIFFANY LEWIS

This page provides the complete NPI Profile along with additional information for Tiffany Lewis, a provider established in Chicago, Illinois with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1598280679 assigned on August 2017. The practitioner's primary taxonomy code is 101YP2500X with license number 180016189 (IL). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1598280679 Verify this NPI
Provider Name
TIFFANY LEWIS
Gender
Female
Entity Type
Individual
Location Address
6009 S LAFLIN ST CHICAGO, IL 60636
Location Phone
(708) 632-1090
Mailing Address
6009 S LAFLIN ST CHICAGO, IL 60636
Is Sole Proprietor?
Yes
Enumeration Date
08-09-2017
Last Update Date
11-06-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
180016189
License State
IL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

180016189 (IL)
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

180016189 (IL)
3222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Developmental Therapist

 

Medicare Participation & PECOS Enrollment Status

Tiffany Lewis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for TIFFANY LEWIS

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Early Intervention Provider Agency
6009 S LAFLIN ST
CHICAGO, IL 60636

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598280679, enumerated as an "individual" on August 09, 2017.

The provider is located at 6009 S LAFLIN ST CHICAGO, IL 60636 and the phone number is (708) 632-1090.

Counselor with taxonomy code 101YP2500X and a focus in Professional.