Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

TIFFANY LATISSHA VALENTINE
NPI 1679325344
Counselor - Professional in Southfield, MI

Active since April 04, 2024PECOS Enrolled
21701 W 11 MILE RD STE 11, SOUTHFIELD, MI 48076(586) 229-1595 Get Directions Write a Review

NPPES record last updated: August 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 1, 2026, Jan 13, 2026, Apr 4, 2024 (3 updates tracked since 2024).

About Tiffany Latissha Valentine NPPES

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

TIFFANY LATISSHA VALENTINE (NPI 1679325344) is an individual professional provider in Southfield, Michigan, licensed in Michigan (6401225674) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1679325344
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTIFFANY LATISSHA VALENTINE
Location Address21701 W 11 MILE RD STE 11Southfield, MI 48076-3713
Mailing Address21701 W 11 Mile Rd Ste 11Southfield, MI 48076-3713 · (313) 815-5955 · Fax (586) 697-4533
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 4, 2024
Last NPPES UpdateAugust 1, 20263 updates tracked since enumeration
NPPES CertifiedAugust 1, 2026
NPI 1679325344 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 MI · 6401225674
21701 W 11 MILE RD STE 11, Southfield, MI 48076

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tiffany Latissha Valentine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294216743
PECOS Enrollment IDI20260224001098
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.

Nurse Practitioner (Gerontology)
21701 W 11 MILE RD STE 11
SOUTHFIELD, MI 48076
Counselor (Mental Health)
21701 W 11 MILE RD STE 11
SOUTHFIELD, MI 48076
Nurse Practitioner
21701 W 11 MILE RD STE 11
SOUTHFIELD, MI 48076
Nurse Practitioner (Psychiatric/Mental Health)
21701 W 11 MILE RD STE 11
SOUTHFIELD, MI 48076

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 Valentine's NPI number?

The NPI number for Tiffany Valentine is 1679325344. It was assigned to this individual provider in the NPPES registry on April 4, 2024.

Where is Tiffany Valentine located?

Tiffany Valentine practices at 21701 W 11 Mile Rd Ste 11, Southfield, MI 48076. The listed phone number is (586) 229-1595.

What is Tiffany Valentine's specialty?

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

Is Tiffany Valentine enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tiffany Valentine was last updated on August 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.