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TIFFANY MARIE WILLINGHAM SUDRC
NPI 1699507814
Peer Specialist in Costa Mesa, CA

Active since August 16, 2024
671 GOVERNOR ST, COSTA MESA, CA 92627(949) 343-6565 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 16, 2025, Aug 16, 2024 (2 updates tracked since 2024).

About Tiffany Marie Willingham Sudrc NPPES

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

TIFFANY MARIE WILLINGHAM SUDRC (NPI 1699507814) is an individual peer specialist in Costa Mesa, California, licensed in California (18573) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1699507814
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameTIFFANY MARIE WILLINGHAMCredential: SUDRC
Location Address671 GOVERNOR STCosta Mesa, CA 92627-2504
Mailing Address14400 Newport Ave Apt 91Tustin, CA 92780-5624 · (949) 343-6566
Phone(949) 343-6565
Sole ProprietorYes
Enumeration DateAugust 16, 2024
Last NPPES UpdateDecember 16, 20252 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1699507814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · 18573
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
671 GOVERNOR ST, Costa Mesa, CA 92627
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Other Providers at the Same Location NPPES

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

CASA CAPRI
Substance Abuse Rehabilitation Facility
671 GOVERNOR ST
COSTA MESA, CA 92627
Orange County (877) 713-2669

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 Willingham's NPI number?

The NPI number for Tiffany Willingham is 1699507814. It was assigned to this individual provider in the NPPES registry on August 16, 2024.

Where is Tiffany Willingham located?

Tiffany Willingham practices at 671 Governor St, Costa Mesa, CA 92627. The listed phone number is (949) 343-6565.

What is Tiffany Willingham's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Tiffany Willingham was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.