TIFFANY WADE
NPI 1871254532
Counselor - Mental Health in Jackson, MS

Active since January 05, 2022
4780 I 55 N STE 105, JACKSON, MS 39211(601) 956-4816 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tiffany Wade NPPES

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

TIFFANY WADE (NPI 1871254532) is an individual mental health provider in Jackson, Mississippi and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1871254532
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTIFFANY WADE
Location Address4780 I 55 N STE 105Jackson, MS 39211-5542
Mailing Address4780 I 55 N Ste 105Jackson, MS 39211-5542 · (601) 956-4816 · Fax (601) 956-4817
Sole ProprietorNo
Enumeration DateJanuary 5, 2022
NPPES CertifiedJanuary 5, 2022
NPI 1871254532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4780 I 55 N STE 105, Jackson, MS 39211

Other Identifiers 1

Medicaid01670076MS

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.

Counselor (Mental Health)
4780 I 55 N STE 105
JACKSON, MS 39211
Case Manager/Care Coordinator
4780 I 55 N STE 105
JACKSON, MS 39211
Counselor (Mental Health)
4780 I 55 N STE 105
JACKSON, MS 39211
Counselor (Mental Health)
4780 I 55 N STE 105
JACKSON, MS 39211
Case Manager/Care Coordinator
4780 I 55 N STE 105
JACKSON, MS 39211
Counselor (Mental Health)
4780 I 55 N STE 105
JACKSON, MS 39211
Case Manager/Care Coordinator
4780 I 55 N STE 105
JACKSON, MS 39211
Case Manager/Care Coordinator
4780 I 55 N STE 105
JACKSON, MS 39211

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 Wade's NPI number?

The NPI number for Tiffany Wade is 1871254532. It was assigned to this individual provider in the NPPES registry on January 5, 2022.

Where is Tiffany Wade located?

Tiffany Wade practices at 4780 I 55 N Ste 105, Jackson, MS 39211. The listed phone number is (601) 956-4816.

What is Tiffany Wade's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Tiffany Wade was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.