MRS. TIFFANY L COSTILLA CDCA
NPI 1811573124
Counselor - Addiction (Substance Use Disorder) in Fremont, OH

Active since March 18, 2021
825 JUNE ST, FREMONT, OH 43420(567) 280-4531 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Tiffany L Costilla Cdca NPPES

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

MRS. TIFFANY L COSTILLA CDCA (NPI 1811573124) is an individual addiction (substance use disorder) provider in Fremont, Ohio, licensed in Ohio (CDCA.176199) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1811573124
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. TIFFANY L COSTILLACredential: CDCA
Location Address825 JUNE STFremont, OH 43420-3417
Mailing Address825 June StFremont, OH 43420-3417 · (567) 280-4531
Sole ProprietorNo
Enumeration DateMarch 18, 2021
NPPES CertifiedMarch 18, 2021
NPI 1811573124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OH · CDCA.176199
825 JUNE ST, Fremont, OH 43420

Other Names 1

Former Name (1)Miss Tiffany L Mcmurray

Other Providers at the Same Location NPPES 13

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

Physical Therapy Assistant
825 JUNE ST
FREMONT, OH 43420
Counselor (Addiction (Substance Use Disorder))
825 JUNE ST
FREMONT, OH 43420
Counselor (Addiction (Substance Use Disorder))
825 JUNE ST
FREMONT, OH 43420
Occupational Therapy Assistant
825 JUNE ST
FREMONT, OH 43420
Occupational Therapy Assistant
825 JUNE ST
FREMONT, OH 43420
Counselor (Addiction (Substance Use Disorder))
825 JUNE ST
FREMONT, OH 43420
Licensed Practical Nurse
825 JUNE ST
FREMONT, OH 43420
Physical Therapy Assistant
825 JUNE ST
FREMONT, OH 43420

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 Costilla's NPI number?

The NPI number for Tiffany Costilla is 1811573124. It was assigned to this individual provider in the NPPES registry on March 18, 2021. The provider is also known as Miss Tiffany L Mcmurray.

Where is Tiffany Costilla located?

Tiffany Costilla practices at 825 June St, Fremont, OH 43420. The listed phone number is (567) 280-4531.

What is Tiffany Costilla's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tiffany Costilla was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.